Provider Demographics
NPI:1366840977
Name:BRENDA MONTERDE BCBA AND ASSOCIATES INC
Entity Type:Organization
Organization Name:BRENDA MONTERDE BCBA AND ASSOCIATES INC
Other - Org Name:NATIONAL BEHAVIORAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ DIRECTOR OF CLINICAL SER
Authorized Official - Prefix:MISS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:PAOLA
Authorized Official - Last Name:MONTERDE
Authorized Official - Suffix:
Authorized Official - Credentials:MA BCBA
Authorized Official - Phone:818-406-2103
Mailing Address - Street 1:15315 MAGNOLIA BLVD
Mailing Address - Street 2:STE 428
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-1173
Mailing Address - Country:US
Mailing Address - Phone:888-603-7779
Mailing Address - Fax:844-884-4677
Practice Address - Street 1:313 PLAZA DR BLDG A
Practice Address - Street 2:UNIT 5
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-6931
Practice Address - Country:US
Practice Address - Phone:805-273-6556
Practice Address - Fax:844-884-4677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-12
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-14-16087251C00000X, 251S00000X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency