Healthcare Provider Details

I. General information

NPI: 1194420943
Provider Name (Legal Business Name): BEHAVIOR CONSULTANT SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 04/03/2023
Certification Date: 04/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5135 N TEILMAN AVE
FRESNO CA
93711-3012
US

IV. Provider business mailing address

5135 N TEILMAN AVE
FRESNO CA
93711-3012
US

V. Phone/Fax

Practice location:
  • Phone: 559-696-8926
  • Fax:
Mailing address:
  • Phone: 559-696-8926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. BRIANAH CARLIN SINGH
Title or Position: CEO
Credential: BCBA, LBA
Phone: 559-696-8926