Healthcare Provider Details

I. General information

NPI: 1114884970
Provider Name (Legal Business Name): BEHAVIOR MOMENTUM SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16922 AIRPORT BLVD STE 1
MOJAVE CA
93501-1657
US

IV. Provider business mailing address

16922 AIRPORT BLVD STE 1
MOJAVE CA
93501-1657
US

V. Phone/Fax

Practice location:
  • Phone: 818-430-2128
  • Fax:
Mailing address:
  • Phone: 661-499-5045
  • 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: MS. MELODY QIANA WILLIS
Title or Position: OWNER/ CLINICAL DIRECTOR
Credential: BCBA
Phone: 818-430-2128