Iraheta, Angie Sophia

Iraheta, Angie Sophia is an individual health care provider with primary practice located at 13130 Burbank Blvd , Sherman Oaks CA 91401. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Iraheta, Angie Sophia can be contacted via phone (818) 781-0360.

Contact Information

Primary practice address
13130 Burbank Blvd Sherman Oaks CA 91401
Phone: (818) 781-0360
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW84476 California

Profile Details

NPI number 1063929693
LBN Legal business name Iraheta, Angie Sophia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2018
Last updated Nov 30th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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