Provider Demographics
NPI:1669108825
Name:MAGIN BEHAVIORAL THERAPIES, LLC
Entity type:Organization
Organization Name:MAGIN BEHAVIORAL THERAPIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGIN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:714-335-9672
Mailing Address - Street 1:PO BOX 2612
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92814-0612
Mailing Address - Country:US
Mailing Address - Phone:714-335-9672
Mailing Address - Fax:714-948-8192
Practice Address - Street 1:2275 W BROADWAY APT M202
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-1333
Practice Address - Country:US
Practice Address - Phone:714-335-9672
Practice Address - Fax:714-948-8192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-28
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty