Provider Demographics
NPI:1932787652
Name:BEHAVIOR HIGHWAY
Entity Type:Organization
Organization Name:BEHAVIOR HIGHWAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-922-7235
Mailing Address - Street 1:4361 MISSION BLVD SPC 93
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-6059
Mailing Address - Country:US
Mailing Address - Phone:626-922-7235
Mailing Address - Fax:
Practice Address - Street 1:4361 MISSION BLVD SPC 93
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-6059
Practice Address - Country:US
Practice Address - Phone:626-922-7235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty