Provider Demographics
NPI:1194374470
Name:COMPREHENSIVE BEHAVIOR SOLUTIONS, INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE BEHAVIOR SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:VIOLETTI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA
Authorized Official - Phone:714-760-9326
Mailing Address - Street 1:2 EXECUTIVE CIR STE 110
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6782
Mailing Address - Country:US
Mailing Address - Phone:714-760-9326
Mailing Address - Fax:888-371-8987
Practice Address - Street 1:2 EXECUTIVE CIR STE 110
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6782
Practice Address - Country:US
Practice Address - Phone:714-760-9326
Practice Address - Fax:888-371-8987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-09
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1205363066OtherNPI