Provider Demographics
NPI:1912517830
Name:BEHAVIORIAL JOURNEYS LLC
Entity Type:Organization
Organization Name:BEHAVIORIAL JOURNEYS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BCABA
Authorized Official - Prefix:
Authorized Official - First Name:BARI
Authorized Official - Middle Name:
Authorized Official - Last Name:UTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:BCABA
Authorized Official - Phone:609-332-3454
Mailing Address - Street 1:5162 ELPINE WAY
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-7848
Mailing Address - Country:US
Mailing Address - Phone:609-332-3454
Mailing Address - Fax:
Practice Address - Street 1:5162 ELPINE WAY
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-7848
Practice Address - Country:US
Practice Address - Phone:609-332-3454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities