Healthcare Provider Details

I. General information

NPI: 1144936857
Provider Name (Legal Business Name): TM&BS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2023
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7382 HALITE CT
CASTLE ROCK CO
80108-3023
US

IV. Provider business mailing address

7382 HALITE CT
CASTLE ROCK CO
80108-3023
US

V. Phone/Fax

Practice location:
  • Phone: 818-699-4222
  • Fax:
Mailing address:
  • Phone: 818-699-4222
  • 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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TAEMY KIM-MANDER
Title or Position: CEO
Credential:
Phone: 720-899-2802