Provider Demographics
NPI:1922693514
Name:BEHAVIOR EDUCATION SERVICES TEAM LLC
Entity Type:Organization
Organization Name:BEHAVIOR EDUCATION SERVICES TEAM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-576-0664
Mailing Address - Street 1:17037 CHATSWORTH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-5881
Mailing Address - Country:US
Mailing Address - Phone:818-576-0664
Mailing Address - Fax:818-831-1700
Practice Address - Street 1:205 SE SPOKANE ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-6487
Practice Address - Country:US
Practice Address - Phone:818-576-0664
Practice Address - Fax:818-831-1700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty