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Organization
GBC LOS BANOS LLC
Active
Organization
GBC LOS BANOS LLC
Active
Parent organization
GENESIS BEHAVIOR CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS BEHAVIOR CENTER, INC
Authorized official
DR. ROMENA KIRYAKOUS PSYD (CEO)
(209) 495-7724
Entity
Organization
Contact information
Practice address
30 W PACHECO BLVD, LOS BANOS, CA 93635-4041
(800) 510-1365
Mailing address
135 S CENTER ST, TURLOCK, CA 95380-4507
(800) 510-1365
(877) 252-3970
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
06/26/2026
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