Provider Demographics
NPI:1174418107
Name:SELECT BEHAVIORAL CONSULTING, INC
Entity type:Organization
Organization Name:SELECT BEHAVIORAL CONSULTING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIAL
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:210-573-0091
Mailing Address - Street 1:26010 SCENIC CREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-2289
Mailing Address - Country:US
Mailing Address - Phone:210-573-0091
Mailing Address - Fax:210-573-0091
Practice Address - Street 1:26010 SCENIC CREST BLVD
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2289
Practice Address - Country:US
Practice Address - Phone:210-573-0091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health