Provider Demographics
NPI:1225543309
Name:DAVID COLAR, FLORINA (MASTER DEGREE)
Entity Type:Individual
Prefix:
First Name:FLORINA
Middle Name:
Last Name:DAVID COLAR
Suffix:
Gender:F
Credentials:MASTER DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20600 VENTURA BLVD UNIT 1202
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-6659
Mailing Address - Country:US
Mailing Address - Phone:949-331-8032
Mailing Address - Fax:
Practice Address - Street 1:30423 CANWOOD ST STE 138
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-4315
Practice Address - Country:US
Practice Address - Phone:818-707-7366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-11
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst