Healthcare Provider Details

I. General information

NPI: 1083570022
Provider Name (Legal Business Name): BEHAVIOR GENIUS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2026
Last Update Date: 01/03/2026
Certification Date: 01/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 S HAVEN AVE STE 240
ONTARIO CA
91761-2973
US

IV. Provider business mailing address

16155 SIERRA LAKES PKWY # 160-163
FONTANA CA
92336-1244
US

V. Phone/Fax

Practice location:
  • Phone: 818-804-5611
  • 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
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: PORTIA JAMES
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.A., BCBA
Phone: 818-804-5611