Provider Demographics
NPI:1477320869
Name:BUSTOS - VAN RANZOW, ARABELLE (MSW)
Entity Type:Individual
Prefix:
First Name:ARABELLE
Middle Name:
Last Name:BUSTOS - VAN RANZOW
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:ARABELLE
Other - Middle Name:
Other - Last Name:BUSTOS - VAN RANZOW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:918 S MARENGO AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-3637
Mailing Address - Country:US
Mailing Address - Phone:323-219-0073
Mailing Address - Fax:
Practice Address - Street 1:918 S MARENGO AVE APT 1
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-3637
Practice Address - Country:US
Practice Address - Phone:323-219-0073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No171400000XOther Service ProvidersHealth & Wellness Coach
No253Z00000XAgenciesIn Home Supportive Care