Provider Demographics
NPI:1659609113
Name:CENTER FOR BEHAVIORAL SCIENCES, INC
Entity Type:Organization
Organization Name:CENTER FOR BEHAVIORAL SCIENCES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS AND DEVELOPM
Authorized Official - Prefix:DR
Authorized Official - First Name:JUNELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAZO-PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD BCBA-D
Authorized Official - Phone:714-724-7262
Mailing Address - Street 1:2973 HARBOR BLVD # 136
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-3912
Mailing Address - Country:US
Mailing Address - Phone:714-724-7262
Mailing Address - Fax:714-362-3159
Practice Address - Street 1:2973 HARBOR BLVD # 136
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-3912
Practice Address - Country:US
Practice Address - Phone:714-724-7262
Practice Address - Fax:714-362-3159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-21
Last Update Date:2009-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency