(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003558099
Provider Name: BRIAN GERRIT BODT
Entity Type: Individual
Taxonomy Code: 106S00000X
Specialty: Behavior Technician
License Number:
Most Important Dates
Enumeration Date: 04/10/2022
Last Updated: 04/10/2022
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: