Most Relevant Information
Provider Data
| NPI Number: | 1003424789 |
| Provider Name: | DAVID BRAVO PSYCHOLOGY BA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/17/2020 |
| Last Updated: | 07/17/2020 |
Provider Practice Location
7226 SEPULVEDA BLVD
VAN NUYS
CA
914052003
Practice Location Phone/Fax
| Phone: | 8182351414 |
| Fax: |
Provider Mailing Location
7226 SEPULVEDA BLVD
VAN NUYS
CA
914052003
Provider Mailing Phone/Fax
| Phone: | 8182351414 |
| Fax: |