Provider Demographics
NPI:1962911305
Name:NAPOLES, VINA VANESSA MULLIKEN (BCBA)
Entity type:Individual
Prefix:
First Name:VINA VANESSA
Middle Name:MULLIKEN
Last Name:NAPOLES
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4325 1/2 VERDUGO RD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90065-4826
Mailing Address - Country:US
Mailing Address - Phone:323-317-6273
Mailing Address - Fax:
Practice Address - Street 1:445 S FIGUEROA ST STE 3100
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90071-1635
Practice Address - Country:US
Practice Address - Phone:626-531-6999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2017-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-17-27522103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst