Healthcare Provider Details

I. General information

NPI: 1972437960
Provider Name (Legal Business Name): STRIVING FOR BEHAVIORAL SUCCESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

26708 RANCHO BUENA CIR
MORENO VALLEY CA
92555-4223
US

IV. Provider business mailing address

26708 RANCHO BUENA CIR
MORENO VALLEY CA
92555-4223
US

V. Phone/Fax

Practice location:
  • Phone: 951-570-6700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: KEVIN HAHN
Title or Position: BEHAVIOR ANALYST
Credential:
Phone: 951-570-6700