Provider Demographics
NPI:1659509636
Name:ADVANCED CHILD BEHAVIOR SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ADVANCED CHILD BEHAVIOR SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MACALEESE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA-D
Authorized Official - Phone:775-448-6533
Mailing Address - Street 1:1010 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-2625
Mailing Address - Country:US
Mailing Address - Phone:775-448-6533
Mailing Address - Fax:775-448-6533
Practice Address - Street 1:1010 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-2625
Practice Address - Country:US
Practice Address - Phone:775-448-6533
Practice Address - Fax:775-448-6533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-29
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health