Healthcare Provider Details

I. General information

NPI: 1952672297
Provider Name (Legal Business Name): BEHAVIORAL HEALTH WORKS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2012
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12459 LEWIS ST STE 201
GARDEN GROVE CA
92840-6606
US

IV. Provider business mailing address

2733 E 12TH ST STE C2
BROOKLYN NY
11235-4672
US

V. Phone/Fax

Practice location:
  • Phone: 800-249-1266
  • Fax: 800-385-8191
Mailing address:
  • Phone: 800-249-1266
  • Fax: 800-385-8191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-08-4069
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT 7404
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP 9175
License Number StateCA

VIII. Authorized Official

Name: VICKIE DRAZIN
Title or Position: OWNER
Credential:
Phone: 212-235-1231