Ganley, Jacqueline Bautista Guinto

Ganley, Jacqueline Bautista Guinto is an individual health care provider with primary practice located at 17203 Ventura Blvd Suite 3, Encino CA 91316-4051. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Ganley, Jacqueline Bautista Guinto can be contacted via phone (818) 501-3615.

Contact Information

Primary practice address
17203 Ventura Blvd Suite 3 Encino CA 91316-4051
Phone: (818) 501-3615
Fax: (818) 501-3649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-07-3534 California

Profile Details

NPI number 1336415413
LBN Legal business name Ganley, Jacqueline Bautista Guinto
Credentials MS, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2012
Last updated Mar 22nd, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336415413 NPPES
Other 12208948 CAQH

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