Provider Demographics
NPI:1619569548
Name:J & BEE, AN ABA SERVICE PROVIDER LLC
Entity Type:Organization
Organization Name:J & BEE, AN ABA SERVICE PROVIDER LLC
Other - Org Name:J & BEE, AN ABA SERVICE PROVIDER LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:VAHIDEH
Authorized Official - Last Name:DAMESHGHI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:510-904-8049
Mailing Address - Street 1:1161 SOUTH MELROSE DRIVE, SUITE A, #301
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081
Mailing Address - Country:US
Mailing Address - Phone:510-904-8049
Mailing Address - Fax:
Practice Address - Street 1:1161 SOUTH MELROSE DRIVE, SUITE A, #301
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081
Practice Address - Country:US
Practice Address - Phone:510-904-8049
Practice Address - Fax:855-265-2990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-11
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty