Provider Demographics
NPI:1346543097
Name:BEHAVIORAL ANALYSIS SERVICES, LLC
Entity Type:Organization
Organization Name:BEHAVIORAL ANALYSIS SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHIEU
Authorized Official - Suffix:
Authorized Official - Credentials:COO
Authorized Official - Phone:561-714-7737
Mailing Address - Street 1:126 LAKE CONSTANCE DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2426
Mailing Address - Country:US
Mailing Address - Phone:561-714-7737
Mailing Address - Fax:561-686-6071
Practice Address - Street 1:7641 TAHITI LN APT 106
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-4943
Practice Address - Country:US
Practice Address - Phone:561-714-7737
Practice Address - Fax:561-686-6071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-17
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0051867103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty