Provider Demographics
NPI:1205101342
Name:AUTISM BEHAVIOR INTERVENTION, INC.
Entity type:Organization
Organization Name:AUTISM BEHAVIOR INTERVENTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:SALTZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA
Authorized Official - Phone:818-501-3615
Mailing Address - Street 1:17203 VENTURA BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-4051
Mailing Address - Country:US
Mailing Address - Phone:818-501-3615
Mailing Address - Fax:818-501-3649
Practice Address - Street 1:17203 VENTURA BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-4051
Practice Address - Country:US
Practice Address - Phone:818-501-3615
Practice Address - Fax:818-501-3649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-21
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No252Y00000XAgenciesEarly Intervention Provider Agency