Provider Demographics
NPI:1952942187
Name:ALPHA BETA BEHAVIORAL PSYCHOLOGICAL SERVICES INC.
Entity Type:Organization
Organization Name:ALPHA BETA BEHAVIORAL PSYCHOLOGICAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-417-2131
Mailing Address - Street 1:8010 VIDIUS WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-6429
Mailing Address - Country:US
Mailing Address - Phone:661-348-4299
Mailing Address - Fax:661-215-1872
Practice Address - Street 1:2026 17TH ST STE 101
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-4251
Practice Address - Country:US
Practice Address - Phone:559-328-8434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-29
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty