Basic Information
| Provider Information | |||||||||
| NPI: | 1700322369 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARBARIAN | ||||||||
| FirstName: | LORI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4221 WILSHIRE BLVD STE 300A | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900103537 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8884283223 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6041 S SYRACUSE WAY STE 250 | ||||||||
| Address2: | |||||||||
| City: | GREENWOOD VILLAGE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801114744 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8884283223 | ||||||||
| FaxNumber: | 3238661881 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/06/2017 | ||||||||
| LastUpdateDate: | 11/07/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/07/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 1-16-24589 | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.