Organization
BEACHMONT BEHAVIORAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY WILSON PHD, BCBA-D (CEO/PRESIDENT/SECRETARY)
(805) 585-0165
Entity
Organization
Contact information
Practice address
701 E SANTA CLARA ST # V-16, VENTURA, CA 93001-5972
(805) 585-0165
Mailing address
701 E SANTA CLARA ST # V-16, VENTURA, CA 93001-5972
(805) 585-0165
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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