Healthcare Provider Details
I. General information
NPI: 1336018118
Provider Name (Legal Business Name): JOYFUL BEHAVIOR SUPPORT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/31/2025
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 E ESPLANADE DR
OXNARD CA
93036-1238
US
IV. Provider business mailing address
PO BOX 1084
VENTURA CA
93002-1084
US
V. Phone/Fax
- Phone: 805-765-1340
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
STEPHANIE
WOLF
Title or Position: MANAGING MEMBER
Credential: BCBA
Phone: 805-765-1340