Provider Demographics
NPI:1144821455
Name:HELIX BEHAVIORAL SERVICES
Entity type:Organization
Organization Name:HELIX BEHAVIORAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:KILLINGSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA, LBA
Authorized Official - Phone:775-530-7427
Mailing Address - Street 1:3785 BAKER LN STE 201
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5454
Mailing Address - Country:US
Mailing Address - Phone:775-996-3890
Mailing Address - Fax:844-802-8510
Practice Address - Street 1:150 E MAIN ST STE 430
Practice Address - Street 2:
Practice Address - City:FERNLEY
Practice Address - State:NV
Practice Address - Zip Code:89408-7744
Practice Address - Country:US
Practice Address - Phone:775-996-3890
Practice Address - Fax:844-802-8510
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HELIX BEHAVIORAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-03
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty