Provider Demographics
NPI:1659995918
Name:COMPASSIONATE BEHAVIOR SERVICES
Entity Type:Organization
Organization Name:COMPASSIONATE BEHAVIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:W
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:BCBA
Authorized Official - Phone:562-965-0745
Mailing Address - Street 1:21 WATERWAY AVE STE NO300
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3098
Mailing Address - Country:US
Mailing Address - Phone:562-965-0745
Mailing Address - Fax:
Practice Address - Street 1:21 WATERWAY AVE STE NO300
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3098
Practice Address - Country:US
Practice Address - Phone:562-965-0745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-02
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty