Provider Demographics
NPI:1134467657
Name:INSTITUTE FOR EFFECTIVE BEHAVIORAL INTERVENTIONS
Entity Type:Organization
Organization Name:INSTITUTE FOR EFFECTIVE BEHAVIORAL INTERVENTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:FERNANDO
Authorized Official - Last Name:GUERRERO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:818-620-2946
Mailing Address - Street 1:2255 GREEN OAK CT
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362-5313
Mailing Address - Country:US
Mailing Address - Phone:818-620-2946
Mailing Address - Fax:805-492-5475
Practice Address - Street 1:2255 GREEN OAK CT
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91362-5313
Practice Address - Country:US
Practice Address - Phone:818-620-2946
Practice Address - Fax:805-492-5475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health