Provider Demographics
NPI:1710116223
Name:LEARNING AND BEHAVIORAL CENTER. LLC
Entity Type:Organization
Organization Name:LEARNING AND BEHAVIORAL CENTER. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BITA
Authorized Official - Middle Name:
Authorized Official - Last Name:GHATAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:818-705-5522
Mailing Address - Street 1:5554 RESEDA BLVD.
Mailing Address - Street 2:SUITE 203
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-4162
Mailing Address - Country:US
Mailing Address - Phone:818-705-5522
Mailing Address - Fax:818-705-0522
Practice Address - Street 1:18663 VENTURA BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-4162
Practice Address - Country:US
Practice Address - Phone:818-705-5522
Practice Address - Fax:818-705-0522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-06
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health