MEDICARE: TOGETHER BEHAVIOR SOLUTIONS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1003383183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOGETHER BEHAVIOR SOLUTIONS, INC.

Provider Business Mailing Address
First Line	:	3150 GREENWOOD RD
Second Line	:
City	:	GREENWOOD
State	:	CA
Zip	:	95635-9213
Country	:	US
Telephone Number	:	916-912-5002
Fax Number	:

Provider Business Practice Location Address
First Line	:	3150 GREENWOOD RD
Second Line	:
City	:	GREENWOOD
State	:	CA
Zip	:	95635-9213
Country	:	US
Telephone Number	:	916-912-5002
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY / BEHAVIOR SPECIALIST
Name	:	MR. DANIEL MICHAEL DINEEN
Credential	:
Telephone Number	:	916-912-5002

Provider Enumeration Date	:	10/26/2018
Last Update Date	:	11/07/2018

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