Healthcare Provider Details

I. General information

NPI: 1992693923
Provider Name (Legal Business Name): BEHAVIORS FOR GROWTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 W LINCOLN AVE STE L
ORANGE CA
92865-1066
US

IV. Provider business mailing address

202 W LINCOLN AVE STE L
ORANGE CA
92865-1066
US

V. Phone/Fax

Practice location:
  • Phone: 714-414-2325
  • 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 Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: HOWARD LEE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 714-414-2325