Provider Demographics
NPI:1679994016
Name:BEHAVIOR GURU LLC
Entity type:Organization
Organization Name:BEHAVIOR GURU LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTHSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-960-9898
Mailing Address - Street 1:29226 ORCHARD LAKE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3046
Mailing Address - Country:US
Mailing Address - Phone:866-960-9898
Mailing Address - Fax:866-960-9724
Practice Address - Street 1:29226 ORCHARD LAKE RD STE 100
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3046
Practice Address - Country:US
Practice Address - Phone:866-960-9898
Practice Address - Fax:866-960-9724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-03
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty