Provider Demographics
NPI:1871819672
Name:BEHAVIOR CAPITAL
Entity Type:Organization
Organization Name:BEHAVIOR CAPITAL
Other - Org Name:BRIGHTSTAR OF SAN JUAN CAPISTRANO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:STEFANY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-545-6900
Mailing Address - Street 1:27512 CALLE ARROYO
Mailing Address - Street 2:SUITE B
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-2753
Mailing Address - Country:US
Mailing Address - Phone:949-545-6900
Mailing Address - Fax:949-545-6661
Practice Address - Street 1:27512 CALLE ARROYO
Practice Address - Street 2:SUITE B
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-2753
Practice Address - Country:US
Practice Address - Phone:949-545-6900
Practice Address - Fax:949-545-6661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health