Provider Demographics
NPI:1336905447
Name:HIGHLIGHT BEHAVIOR SERVICES
Entity Type:Organization
Organization Name:HIGHLIGHT BEHAVIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:HYUN WOO
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:714-253-7941
Mailing Address - Street 1:83 ARDMORE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-0109
Mailing Address - Country:US
Mailing Address - Phone:949-648-8841
Mailing Address - Fax:
Practice Address - Street 1:83 ARDMORE
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92602-0109
Practice Address - Country:US
Practice Address - Phone:949-648-8841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty