Healthcare Provider Details

I. General information

NPI: 1366388134
Provider Name (Legal Business Name): VILLAGE BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 04/25/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 CLEMENTINE ST
TRABUCO CANYON CA
92679-5303
US

IV. Provider business mailing address

8 CLEMENTINE ST
TRABUCO CANYON CA
92679-5303
US

V. Phone/Fax

Practice location:
  • Phone: 714-801-8880
  • Fax:
Mailing address:
  • Phone: 949-345-5153
  • 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: ARIANA ROBERTS
Title or Position: FOUNDER
Credential: BCBA
Phone: 714-801-8880