Healthcare Provider Details

I. General information

NPI: 1679492458
Provider Name (Legal Business Name): PSYCHOLOGICAL & BEHAVIORAL HEALTH SERVICES OF CALIFORNIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4865 TRUXTUN AVE
BAKERSFIELD CA
93309-0605
US

IV. Provider business mailing address

4865 TRUXTUN AVE
BAKERSFIELD CA
93309-0605
US

V. Phone/Fax

Practice location:
  • Phone: 661-634-0789
  • Fax: 888-886-4071
Mailing address:
  • Phone: 661-634-0789
  • Fax: 888-886-4071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: NICANOR GARCIA
Title or Position: OWNER
Credential: LP & BCBA
Phone: 661-444-6956