Provider Demographics
NPI:1922999622
Name:RAVERON BEHAVIORAL SOLUTIONS
Entity type:Organization
Organization Name:RAVERON BEHAVIORAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:XIAOJIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, MS, LBA, MBA
Authorized Official - Phone:213-421-2934
Mailing Address - Street 1:420 DOYLE DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91775-2851
Mailing Address - Country:US
Mailing Address - Phone:626-225-0069
Mailing Address - Fax:
Practice Address - Street 1:420 DOYLE DR UNIT B
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91775-2851
Practice Address - Country:US
Practice Address - Phone:626-225-0069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care