Provider Demographics
NPI:1013630359
Name:CAIN BEHAVIORAL THERAPY
Entity Type:Organization
Organization Name:CAIN BEHAVIORAL THERAPY
Other - Org Name:CAIN BEHAVIOR THERAPY, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:FOUNDER AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KE'AARRE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-773-4359
Mailing Address - Street 1:6200 STONERIDGE MALL RD
Mailing Address - Street 2:STE 300 #1002
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-3705
Mailing Address - Country:US
Mailing Address - Phone:888-773-4359
Mailing Address - Fax:855-507-2843
Practice Address - Street 1:6200 STONERIDGE MALL RD STE 300
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-3705
Practice Address - Country:US
Practice Address - Phone:888-773-4359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-21
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care