Provider Demographics
NPI:1578801544
Name:MCCORD, DEBORAH LORRAINE (BA, BCABA)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:LORRAINE
Last Name:MCCORD
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Gender:F
Credentials:BA, BCABA
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Mailing Address - Street 1:21600 OXNARD ST
Mailing Address - Street 2:SUITE 1800
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-4976
Mailing Address - Country:US
Mailing Address - Phone:818-345-2345
Mailing Address - Fax:818-449-0994
Practice Address - Street 1:9901 NE 7TH AVE
Practice Address - Street 2:SUITE C-116
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-4523
Practice Address - Country:US
Practice Address - Phone:360-571-2432
Practice Address - Fax:360-836-8131
Is Sole Proprietor?:No
Enumeration Date:2013-01-24
Last Update Date:2016-05-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL0-10-3979103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst