Heaven Gershon, RBT
Behavior Technician in Van Nuys, CA. Individual provider (NPI-1).
NPI number1245081975
StatusActive
Last updated in NPPESAug 28, 2024
Details
- NPI
- 1245081975
- Entity type
- Individual (NPI-1)
- Name
- Heaven Gershon
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2024
- Certification date
- Aug 28, 2024
- Last updated
- Aug 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-24-332001 | CA | Yes |
Practice location
16600 Sherman Way Ste 105Van Nuys, CA 91406-3876
Phone 818-991-7722 · Fax 818-991-7722
Mailing address
16600 Sherman Way Ste 175Van Nuys, CA 91406-3847
Phone 818-991-7722 · Fax 818-991-7722
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