Provider Demographics
NPI:1194579540
Name:RETHINK BEHAVIOR SOLUTIONS
Entity type:Organization
Organization Name:RETHINK BEHAVIOR SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:480-416-1904
Mailing Address - Street 1:PO BOX 632
Mailing Address - Street 2:
Mailing Address - City:ALTA
Mailing Address - State:CA
Mailing Address - Zip Code:95701-0632
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:745 HIDEAWAY LOOP
Practice Address - Street 2:
Practice Address - City:ALTA
Practice Address - State:CA
Practice Address - Zip Code:95701
Practice Address - Country:US
Practice Address - Phone:480-416-1904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty