Healthcare Provider Details

I. General information

NPI: 1871460535
Provider Name (Legal Business Name): FUNCTIONAL BEHAVIORAL INTERVENTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2025
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 W LA HABRA BLVD STE 9
LA HABRA CA
90631-4354
US

IV. Provider business mailing address

2501 W LA HABRA BLVD STE 9
LA HABRA CA
90631-4354
US

V. Phone/Fax

Practice location:
  • Phone: 562-298-0565
  • Fax:
Mailing address:
  • Phone:
  • 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: STEVE PEREZ
Title or Position: DIRECTOR
Credential:
Phone: 562-686-0512