Provider Demographics
NPI:1700473766
Name:ADELANTE BEHAVIORAL HEALTH ABA LLC
Entity Type:Organization
Organization Name:ADELANTE BEHAVIORAL HEALTH ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:PEREZ
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCABA
Authorized Official - Phone:559-759-5060
Mailing Address - Street 1:513 W COLUMBUS ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5848
Mailing Address - Country:US
Mailing Address - Phone:559-759-5060
Mailing Address - Fax:661-579-1536
Practice Address - Street 1:513 W COLUMBUS ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5848
Practice Address - Country:US
Practice Address - Phone:559-759-5060
Practice Address - Fax:661-579-1536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-24
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty