Provider Demographics
NPI:1134667637
Name:FOCUSED BEHAVIOR SOLUTIONS, LLC
Entity Type:Organization
Organization Name:FOCUSED BEHAVIOR SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:MA BCBA
Authorized Official - Phone:208-217-5529
Mailing Address - Street 1:455 JUNEBERRY LN
Mailing Address - Street 2:
Mailing Address - City:PRIEST RIVER
Mailing Address - State:ID
Mailing Address - Zip Code:83856-9366
Mailing Address - Country:US
Mailing Address - Phone:208-217-5529
Mailing Address - Fax:
Practice Address - Street 1:455 JUNEBERRY LN
Practice Address - Street 2:
Practice Address - City:PRIEST RIVER
Practice Address - State:ID
Practice Address - Zip Code:83856-9366
Practice Address - Country:US
Practice Address - Phone:208-217-5529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID1-16-23865251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health