Provider Demographics
NPI:1043229826
Name:BEHAVIORAL ASSOCIATES INTERNATIONAL
Entity Type:Organization
Organization Name:BEHAVIORAL ASSOCIATES INTERNATIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:CALDERON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, S
Authorized Official - Phone:281-419-2323
Mailing Address - Street 1:25227 GROGANS MILL RD # 205
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2951
Mailing Address - Country:US
Mailing Address - Phone:281-419-2323
Mailing Address - Fax:281-419-0744
Practice Address - Street 1:25227 GROGANS MILL RD # 205
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2951
Practice Address - Country:US
Practice Address - Phone:281-419-2323
Practice Address - Fax:281-419-0744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty