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My Shadow
Community/Behavioral Health Agency in Los Angeles, California
NPI 1710422506

My Shadow is a Community/Behavioral Health Agency based in Los Angeles, CA. My Shadow practices in Los Angeles, CA. The NPI Number for My Shadow is 1710422506 and holds a License No. (California).

The current practice location address for My Shadow is 11301 W Olympic Blvd, Los Angeles, CA and can be reached out via phone at 310-721-2101.

Location: 11301 W Olympic Blvd, Los Angeles, CA, 90064-1653
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710422506
Provider Name
My Shadow
Credential
Provider Entity Type
Organization
Address
11301 W Olympic Blvd, Los Angeles, CA, 90064-1653
Phone Number
310-721-2101
Fax Number
Provider Enumeration Date
01/03/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
11301 W Olympic Blvd
City
Los Angeles
State
California
Zip
90064-1653
Phone Number
310-721-2101
Fax Number
person
Provider Business Mailing Address Details
Address
11301 W Olympic Blvd
City
Los Angeles
State
California
Zip
90064-1653
Phone Number
310-721-2101
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Assistant Behavior Analyst
Speciality
-
Taxonomy
106E00000X
License No.
()
Definition
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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