Provider Demographics
NPI:1700531647
Name:TOP TIER BEHAVIOR AND WELLNESS, LLC,
Entity type:Organization
Organization Name:TOP TIER BEHAVIOR AND WELLNESS, LLC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULEE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEEB
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:910-818-3234
Mailing Address - Street 1:1411 DANBERRY ST
Mailing Address - Street 2:
Mailing Address - City:BURKBURNETT
Mailing Address - State:TX
Mailing Address - Zip Code:76354-3115
Mailing Address - Country:US
Mailing Address - Phone:910-818-3234
Mailing Address - Fax:
Practice Address - Street 1:1411 DANBERRY ST
Practice Address - Street 2:
Practice Address - City:BURKBURNETT
Practice Address - State:TX
Practice Address - Zip Code:76354-3115
Practice Address - Country:US
Practice Address - Phone:910-818-3234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty