Provider Demographics
NPI:1598240426
Name:MAJESTIC BEHAVIOR SERVICES, INC.
Entity Type:Organization
Organization Name:MAJESTIC BEHAVIOR SERVICES, INC.
Other - Org Name:MAJESTIC BEHAVIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:NASIR
Authorized Official - Last Name:WARRIACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-779-0100
Mailing Address - Street 1:16360 MONTEREY ST STE 150
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-5454
Mailing Address - Country:US
Mailing Address - Phone:692-811-8196
Mailing Address - Fax:
Practice Address - Street 1:16360 MONTEREY ST STE 150
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-5454
Practice Address - Country:US
Practice Address - Phone:692-811-8196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-26
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health