Provider Demographics
NPI:1073861258
Name:REACH BEHAVIOR SERVICES
Entity Type:Organization
Organization Name:REACH BEHAVIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANH
Authorized Official - Middle Name:THI
Authorized Official - Last Name:PHAN-CHU
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:714-235-1936
Mailing Address - Street 1:11770 WARNER AVE
Mailing Address - Street 2:SUITE 214
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-2663
Mailing Address - Country:US
Mailing Address - Phone:714-235-1936
Mailing Address - Fax:
Practice Address - Street 1:13331 GARDEN GROVE BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-2254
Practice Address - Country:US
Practice Address - Phone:714-235-1936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-20
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty