Provider Demographics
NPI:1275192734
Name:TOUBI, ANN (BEHAVIOR SPECIALIST)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:TOUBI
Suffix:
Gender:F
Credentials:BEHAVIOR SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4322 WILSHIRE BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-3737
Mailing Address - Country:US
Mailing Address - Phone:323-879-4951
Mailing Address - Fax:
Practice Address - Street 1:4322 WILSHIRE BLVD STE 104
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-3737
Practice Address - Country:US
Practice Address - Phone:323-879-4951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-10
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty