Provider Demographics
NPI:1740960897
Name:THRIVE BEHAVIORAL SOLUTIONS
Entity type:Organization
Organization Name:THRIVE BEHAVIORAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAXWELL
Authorized Official - Middle Name:
Authorized Official - Last Name:BAENEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA BCBA
Authorized Official - Phone:830-431-0274
Mailing Address - Street 1:1432 HUNTLY CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-5212
Mailing Address - Country:US
Mailing Address - Phone:830-431-0274
Mailing Address - Fax:
Practice Address - Street 1:1432 HUNTLY CT
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-5212
Practice Address - Country:US
Practice Address - Phone:830-431-0274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities