Provider Demographics
NPI:1093197436
Name:BEHAVIOR SUPPORT SOLUTIONS, LLC
Entity Type:Organization
Organization Name:BEHAVIOR SUPPORT SOLUTIONS, LLC
Other - Org Name:BEHAVIOR MANAGEMENT SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:KARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:713-299-9082
Mailing Address - Street 1:518 SAINT CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-4036
Mailing Address - Country:US
Mailing Address - Phone:713-299-9082
Mailing Address - Fax:
Practice Address - Street 1:518 SAINT CHARLES ST
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-4036
Practice Address - Country:US
Practice Address - Phone:713-299-9082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-22
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty