Healthcare Provider Details

I. General information

NPI: 1972995959
Provider Name (Legal Business Name): NOVO BEHAVIORAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2015
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 W BALL RD STE 4A
ANAHEIM CA
92804-5589
US

IV. Provider business mailing address

1720 W BALL RD STE 4A
ANAHEIM CA
92804-5589
US

V. Phone/Fax

Practice location:
  • Phone: 714-257-5534
  • Fax: 714-386-7019
Mailing address:
  • Phone: 714-257-5534
  • Fax: 714-386-7019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: JAVIER MURILLO JR.
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.S., BCBA
Phone: 805-815-9048