Provider Demographics
NPI:1316514730
Name:FUNCTIONAL BEHAVIOR SOLUTIONS, LLC
Entity type:Organization
Organization Name:FUNCTIONAL BEHAVIOR SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ BEHAVIOR ANALYST
Authorized Official - Prefix:DR
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAXON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA-D, LBA
Authorized Official - Phone:908-913-0743
Mailing Address - Street 1:PO BOX 2332
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07091-2332
Mailing Address - Country:US
Mailing Address - Phone:908-913-0743
Mailing Address - Fax:
Practice Address - Street 1:524 DUDLEY CT
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-3029
Practice Address - Country:US
Practice Address - Phone:908-913-0743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-04
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty