Provider Demographics
NPI:1013752104
Name:BX CONSULTATIONS
Entity type:Organization
Organization Name:BX CONSULTATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:MISS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORA
Authorized Official - Suffix:
Authorized Official - Credentials:MS,BCBA
Authorized Official - Phone:909-667-6557
Mailing Address - Street 1:660 W BONITA AVE APT 31J
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-4570
Mailing Address - Country:US
Mailing Address - Phone:909-667-6557
Mailing Address - Fax:
Practice Address - Street 1:660 W BONITA AVE APT 31J
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-4570
Practice Address - Country:US
Practice Address - Phone:909-667-6557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty