Organization
BEEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAYDEN IMMEKUS (CEO)
(360) 823-9925
Entity
Organization
Contact information
Practice address
71566 FLORIDA DR, TWENTYNINE PALMS, CA 92277-4070
(360) 823-9925
Mailing address
71566 FLORIDA DR, TWENTYNINE PALMS, CA 92277-4070
(360) 823-9925
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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