Provider Demographics
NPI:1760866198
Name:APPLIED BEHAVIORAL HEALTH GROUP, INC
Entity Type:Organization
Organization Name:APPLIED BEHAVIORAL HEALTH GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:N
Authorized Official - Last Name:CASTELLON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:818-875-4328
Mailing Address - Street 1:7840 FOOTHILL BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:SUNLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91040-2907
Mailing Address - Country:US
Mailing Address - Phone:818-875-4328
Mailing Address - Fax:888-869-4002
Practice Address - Street 1:7840 FOOTHILL BLVD STE E
Practice Address - Street 2:
Practice Address - City:SUNLAND
Practice Address - State:CA
Practice Address - Zip Code:91040-2907
Practice Address - Country:US
Practice Address - Phone:818-875-4328
Practice Address - Fax:888-869-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11518014103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty