Healthcare Provider Details

I. General information

NPI: 1902730013
Provider Name (Legal Business Name): CENTRAL VALLEY BEHAVIOR CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7004 COPPER CREEK WAY
BAKERSFIELD CA
93308-6647
US

IV. Provider business mailing address

2108 N ST STE 9491
SACRAMENTO CA
95816-5712
US

V. Phone/Fax

Practice location:
  • Phone: 559-833-5599
  • Fax:
Mailing address:
  • Phone: 559-833-5599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: LEMUEL CANET
Title or Position: MANAGING MEMBER
Credential:
Phone: 559-833-5599