Provider Demographics
NPI:1053058933
Name:BEHAVIOR MOTIVATION, LLC
Entity Type:Organization
Organization Name:BEHAVIOR MOTIVATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA CAROLINA
Authorized Official - Middle Name:GAERLAN
Authorized Official - Last Name:STARR
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:818-987-1808
Mailing Address - Street 1:7602 N PATRIOT WAY
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-5647
Mailing Address - Country:US
Mailing Address - Phone:818-987-1808
Mailing Address - Fax:
Practice Address - Street 1:7602 N PATRIOT WAY
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-5647
Practice Address - Country:US
Practice Address - Phone:818-987-1808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty