Provider Demographics
NPI:1912769332
Name:BEHAVIORAL BEGINNINGS INC.
Entity Type:Organization
Organization Name:BEHAVIORAL BEGINNINGS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:GOYTOM
Authorized Official - Middle Name:
Authorized Official - Last Name:BERAKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-910-1668
Mailing Address - Street 1:425 W BEACH ST UNIT 1458
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-8437
Mailing Address - Country:US
Mailing Address - Phone:909-910-1668
Mailing Address - Fax:
Practice Address - Street 1:425 W BEACH ST UNIT 1458
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-8437
Practice Address - Country:US
Practice Address - Phone:909-910-1668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency