Provider Demographics
NPI:1316403728
Name:PALMER BEHAVIORAL CONSULTING INC
Entity Type:Organization
Organization Name:PALMER BEHAVIORAL CONSULTING INC
Other - Org Name:SANTA CRUZ ABA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/BEHAVIOR ANALYST
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA
Authorized Official - Phone:831-291-3570
Mailing Address - Street 1:1052 E LAKE AVE # 109
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-3406
Mailing Address - Country:US
Mailing Address - Phone:831-291-3570
Mailing Address - Fax:844-831-5548
Practice Address - Street 1:40 PENNY LN
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-6008
Practice Address - Country:US
Practice Address - Phone:831-291-3570
Practice Address - Fax:844-831-5548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty