Healthcare Provider Details

I. General information

NPI: 1043085822
Provider Name (Legal Business Name): SOCIAL BEHAVIOR SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2023
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6705 TOPAZ LN
BAKERSFIELD CA
93308-6617
US

IV. Provider business mailing address

6705 TOPAZ LN
BAKERSFIELD CA
93308-6617
US

V. Phone/Fax

Practice location:
  • Phone: 661-546-1870
  • Fax:
Mailing address:
  • Phone: 661-546-1870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: SUZANNE SCHWARTZ
Title or Position: OWNER
Credential:
Phone: 661-546-1870