Provider Demographics
NPI:1326431636
Name:ASSOCIATION OF BEHAVIOR CONSULTANTS
Entity Type:Organization
Organization Name:ASSOCIATION OF BEHAVIOR CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF INSURANCE
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:KANAUS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:707-495-1534
Mailing Address - Street 1:119 CHELSEA AVE
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-5603
Mailing Address - Country:US
Mailing Address - Phone:707-320-7854
Mailing Address - Fax:
Practice Address - Street 1:3808 ZIEBER RD
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-2636
Practice Address - Country:US
Practice Address - Phone:707-575-3290
Practice Address - Fax:415-276-4536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-11
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency