Most Relevant Information
Provider Data
| NPI Number: | 1003442757 |
| Provider Name: | ASTRITH AVILA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/13/2020 |
| Last Updated: | 10/13/2021 |
Provider Practice Location
16500 VENTURA BLVD STE 414
ENCINO
CA
914365050
Practice Location Phone/Fax
| Phone: | 8187881003 |
| Fax: | 8187881135 |
Provider Mailing Location
3273 LIBERTY BLVD
SOUTH GATE
CA
902802335
Provider Mailing Phone/Fax
| Phone: | 3235408104 |
| Fax: |