Provider Demographics
NPI:1669891644
Name:BEHAVIORAL CONCEPTS LLC
Entity type:Organization
Organization Name:BEHAVIORAL CONCEPTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:RIQUELME
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:949-235-3719
Mailing Address - Street 1:BEHAVIORAL CONCEPTS LLC
Mailing Address - Street 2:23041 AVENDIA DE LA CARLOTA
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1511
Mailing Address - Country:US
Mailing Address - Phone:949-954-4422
Mailing Address - Fax:714-242-1611
Practice Address - Street 1:23041 AVENDIA DE LA CARLOTA
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1511
Practice Address - Country:US
Practice Address - Phone:949-954-4422
Practice Address - Fax:714-242-1611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-07
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-13-12788320600000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesGroup - Multi-Specialty