Provider Demographics
NPI:1093257107
Name:ALIGNED THERAPY
Entity Type:Organization
Organization Name:ALIGNED THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:BERNSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-416-8977
Mailing Address - Street 1:2547 CLOVERLEAF LN
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-0450
Mailing Address - Country:US
Mailing Address - Phone:818-605-6062
Mailing Address - Fax:
Practice Address - Street 1:2547 CLOVERLEAF LN
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-0450
Practice Address - Country:US
Practice Address - Phone:818-605-6062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-07
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA89332251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health