Provider Demographics
NPI:1346559762
Name:BEHAVIOR MATTERS LLC
Entity Type:Organization
Organization Name:BEHAVIOR MATTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBEKA
Authorized Official - Middle Name:PENA
Authorized Official - Last Name:EDGE
Authorized Official - Suffix:
Authorized Official - Credentials:M ED, BCBA
Authorized Official - Phone:253-686-6958
Mailing Address - Street 1:16941 N EAGLE RIVER LOOP RD STE 3
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-7824
Mailing Address - Country:US
Mailing Address - Phone:253-686-6958
Mailing Address - Fax:907-726-5366
Practice Address - Street 1:16636 BAIRD CIR
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-6711
Practice Address - Country:US
Practice Address - Phone:253-686-6958
Practice Address - Fax:907-726-5366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-03
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-10-7144103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1265734230OtherNPI
1265744247OtherNPI
1245530757OtherNPI
AK1720304173OtherNPI