Healthcare Provider Details

I. General information

NPI: 1134737547
Provider Name (Legal Business Name): DAYBREAK BEHAVIORAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2020
Last Update Date: 07/21/2020
Certification Date: 07/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

791 8TH ST STE S
ARCATA CA
95521-6234
US

IV. Provider business mailing address

791 8TH ST STE S
ARCATA CA
95521-6234
US

V. Phone/Fax

Practice location:
  • Phone: 707-834-2621
  • Fax:
Mailing address:
  • Phone: 707-834-2621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY MAY KOWALSKI
Title or Position: OWNER
Credential: BCBA
Phone: 707-834-2621