Organization
BEEHAVEN APPLIED BEHAVIORAL ANALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIANEY OBREGON (CHIEF FINANCE OFFICER)
(559) 696-2457
Entity
Organization
Contact information
Practice address
4729 W JENNIFER AVE, FRESNO, CA 93722-6425
(559) 696-2457
Mailing address
4729 W JENNIFER AVE, FRESNO, CA 93722-6425
(559) 696-2457
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417317314
—
CA
Enumeration date
06/21/2023
Last updated
07/06/2023
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