Provider Demographics
NPI:1871076802
Name:LIU ARELIZ, COURTNEY (MS)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:LIU ARELIZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:308 N MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-2746
Mailing Address - Country:US
Mailing Address - Phone:818-275-2587
Mailing Address - Fax:888-909-8741
Practice Address - Street 1:410 ARDEN AVE STE 201
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-4006
Practice Address - Country:US
Practice Address - Phone:182-752-5878
Practice Address - Fax:888-909-8741
Is Sole Proprietor?:No
Enumeration Date:2018-09-14
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-20-46317103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst