Psychological Behavioral Team INC
Psychologist, Intellectual & Developmental Disabilities in Westlake Village, CA. Organization (NPI-2).
NPI number1215696349
StatusActive
Last updated in NPPESDec 16, 2021
Details
- NPI
- 1215696349
- Entity type
- Organization (NPI-2)
- Legal business name
- Psychological Behavioral Team INC
- Organization subpart
- No
- Enumeration date
- Dec 16, 2021
- Certification date
- Dec 16, 2021
- Last updated
- Dec 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TM1800X | Psychologist, Intellectual & Developmental Disabilities | – | – | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
2625 Townsgate Rd Ste 330Westlake Village, CA 91361-5749
Phone 805-626-0325
Mailing address
2625 Townsgate Rd Ste 330Westlake Village, CA 91361-5749
Phone 805-626-0325
Authorized official
Alfredo Bimbela
Ceo/President
8056260325
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