Provider Demographics
NPI:1245067768
Name:BEHAVIORAL IMPROVEMENT THERAPIES, LLC.
Entity type:Organization
Organization Name:BEHAVIORAL IMPROVEMENT THERAPIES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:909-561-5632
Mailing Address - Street 1:18026 JONATHAN ST STE E
Mailing Address - Street 2:
Mailing Address - City:ADELANTO
Mailing Address - State:CA
Mailing Address - Zip Code:92301-1771
Mailing Address - Country:US
Mailing Address - Phone:909-561-5632
Mailing Address - Fax:
Practice Address - Street 1:18026 JONATHAN ST STE E
Practice Address - Street 2:
Practice Address - City:ADELANTO
Practice Address - State:CA
Practice Address - Zip Code:92301-1771
Practice Address - Country:US
Practice Address - Phone:909-561-5632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty