Provider Demographics
NPI:1700343886
Name:BEHAVIOR ANALYSIS SERVICES AND SOLUTIONS, LLC.
Entity type:Organization
Organization Name:BEHAVIOR ANALYSIS SERVICES AND SOLUTIONS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:954-684-0674
Mailing Address - Street 1:4389 NE HIGHWAY 353
Mailing Address - Street 2:
Mailing Address - City:OLD TOWN
Mailing Address - State:FL
Mailing Address - Zip Code:32680-2705
Mailing Address - Country:US
Mailing Address - Phone:954-684-0674
Mailing Address - Fax:
Practice Address - Street 1:4389 NE HIGHWAY 353
Practice Address - Street 2:
Practice Address - City:OLD TOWN
Practice Address - State:FL
Practice Address - Zip Code:32680-2705
Practice Address - Country:US
Practice Address - Phone:954-684-0674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-26
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty