Healthcare Provider Details

I. General information

NPI: 1407617004
Provider Name (Legal Business Name): KINDERREADY BEHAVIOR SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2024
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 N VULCAN AVE STE 209
ENCINITAS CA
92024-2191
US

IV. Provider business mailing address

15208 AMSO ST
POWAY CA
92064-2606
US

V. Phone/Fax

Practice location:
  • Phone: 414-520-8141
  • Fax:
Mailing address:
  • Phone: 414-520-8141
  • 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: EGLAL IBRAHIM
Title or Position: FOUNDER
Credential: BCBA
Phone: 414-520-8141