Healthcare Provider Details

I. General information

NPI: 1801306253
Provider Name (Legal Business Name): BEHAVIOR ANALYTIC SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2017
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5015 ARLINGTON WAY
EL DORADO HILLS CA
95762-9554
US

IV. Provider business mailing address

5015 ARLINGTON WAY
EL DORADO HILLS CA
95762-9554
US

V. Phone/Fax

Practice location:
  • Phone: 916-769-4257
  • Fax:
Mailing address:
  • Phone: 916-769-4257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-17-25442
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number1-17-7719
License Number StateCA

VIII. Authorized Official

Name: STEVEN GUNSCH
Title or Position: OWNER
Credential:
Phone: 916-769-4257