Healthcare Provider Details

I. General information

NPI: 1306355516
Provider Name (Legal Business Name): GLOBAL BEHAVIOR EDUCATION ALLIANCE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2017
Last Update Date: 12/09/2020
Certification Date: 12/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5475 KNOLL PL
HIGHLANDS RANCH CO
80130-8044
US

IV. Provider business mailing address

5475 KNOLL PL
HIGHLANDS RANCH CO
80130-8044
US

V. Phone/Fax

Practice location:
  • Phone: 888-423-2559
  • Fax: 888-423-2559
Mailing address:
  • Phone: 888-423-2559
  • Fax: 888-423-2559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. TONIA RYAN
Title or Position: OWNER/CEO
Credential: PHD
Phone: 405-481-1563