Provider Demographics
NPI:1629698659
Name:BEHAVIOR MANAGEMENT SOLUTIONS LLC
Entity Type:Organization
Organization Name:BEHAVIOR MANAGEMENT SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:KENT
Authorized Official - Suffix:IV
Authorized Official - Credentials:BCBA
Authorized Official - Phone:510-917-3444
Mailing Address - Street 1:6226 ANTIOCH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-2911
Mailing Address - Country:US
Mailing Address - Phone:510-917-3444
Mailing Address - Fax:
Practice Address - Street 1:6226 ANTIOCH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-2911
Practice Address - Country:US
Practice Address - Phone:510-917-3444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-20
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty