Individual provider · NPI-1

Heather Hettinger, Psy.D. BCBA

Psychologist, Clinical · Valley Village, CA

NPI number1265705123
StatusActive
Last updated in NPPESFeb 4, 2025

Details

NPI
1265705123
Entity type
Individual (NPI-1)
Name
Heather Hettinger
Credential
Psy.D. BCBA
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 22, 2012
Certification date
Feb 4, 2025
Last updated
Feb 4, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPSY35580CAYes
103K00000X Behavior Analyst0-11-4333CA
103T00000X PsychologistPSY35580CA

Practice location

12626 Riverside Dr Ste 409
Valley Village, CA 91607-3451

Phone 818-661-6306

Mailing address

12626 Riverside Dr Ste 409
Valley Village, CA 91607-3451

Phone 818-661-6306

Other practice locations

43520 Division St
Lancaster, CA 93535-4089

Phone 661-266-4783 · Fax 661-266-1210

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