Provider Demographics
NPI:1891421194
Name:ACHIEVEMENT BEHAVIOR SERVICES INC
Entity Type:Organization
Organization Name:ACHIEVEMENT BEHAVIOR SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER/SLP
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:MANVELL
Authorized Official - Suffix:SR
Authorized Official - Credentials:PRESIDENT,OWNER, SLP
Authorized Official - Phone:714-943-7146
Mailing Address - Street 1:400 W VENTURA BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-9139
Mailing Address - Country:US
Mailing Address - Phone:805-383-1497
Mailing Address - Fax:
Practice Address - Street 1:400 W VENTURA BLVD STE 140
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-9139
Practice Address - Country:US
Practice Address - Phone:805-383-1497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty