Provider Demographics
NPI:1568056505
Name:YOUR BEST BEHAVIOR , LLC
Entity Type:Organization
Organization Name:YOUR BEST BEHAVIOR , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TIANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOOTH
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:309-660-3636
Mailing Address - Street 1:5844 WALNUT AVE APT 1A
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60516-6022
Mailing Address - Country:US
Mailing Address - Phone:309-660-3636
Mailing Address - Fax:
Practice Address - Street 1:5844 WALNUT AVE APT 1A
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60516-6022
Practice Address - Country:US
Practice Address - Phone:309-660-3636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-20
Last Update Date:2021-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty