Provider Demographics
NPI:1346722048
Name:BEHAVIORAL JUNCTION ADVOCACY SOURCE
Entity Type:Organization
Organization Name:BEHAVIORAL JUNCTION ADVOCACY SOURCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:GUNIA-BARI
Authorized Official - Suffix:
Authorized Official - Credentials:MS BCBA,LBA,TCM, P
Authorized Official - Phone:912-271-6196
Mailing Address - Street 1:733 W. SPRUCE STREET
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66441-3441
Mailing Address - Country:US
Mailing Address - Phone:912-271-6196
Mailing Address - Fax:
Practice Address - Street 1:733 WEST SPRUCE STREET
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441-3441
Practice Address - Country:US
Practice Address - Phone:912-271-6196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSBCBA1-17-27427IBA144103K00000X
171M00000X
KS251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty