Provider Demographics
NPI:1831449081
Name:MULTILEVEL APPLICATIONA AND POSITIVE SUPPORT SERVICES
Entity type:Organization
Organization Name:MULTILEVEL APPLICATIONA AND POSITIVE SUPPORT SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GARDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-397-4777
Mailing Address - Street 1:5500 MING AVE
Mailing Address - Street 2:228
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-4689
Mailing Address - Country:US
Mailing Address - Phone:661-397-4777
Mailing Address - Fax:661-397-4277
Practice Address - Street 1:5500 MING AVE
Practice Address - Street 2:228
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-4689
Practice Address - Country:US
Practice Address - Phone:661-397-4777
Practice Address - Fax:661-397-4277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 40078106H00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1154634962OtherBCBA
CA1427187269OtherLMFT