Provider Demographics
NPI:1548658388
Name:OPTIMA BEHAVIORAL CONSULTING, LLC
Entity type:Organization
Organization Name:OPTIMA BEHAVIORAL CONSULTING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:MRS
Authorized Official - First Name:UMUT
Authorized Official - Middle Name:
Authorized Official - Last Name:CATRON
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:520-349-6931
Mailing Address - Street 1:1955 W GRANT RD STE 180
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-1475
Mailing Address - Country:US
Mailing Address - Phone:844-333-6642
Mailing Address - Fax:520-333-3060
Practice Address - Street 1:1955 W GRANT RD
Practice Address - Street 2:STE 112
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-1147
Practice Address - Country:US
Practice Address - Phone:520-500-7505
Practice Address - Fax:520-333-3060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-02
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty