Provider Demographics
NPI:1417724378
Name:BEHAVIOR IN ACTION LLC
Entity type:Organization
Organization Name:BEHAVIOR IN ACTION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIERECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:COE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MBA
Authorized Official - Phone:619-204-4442
Mailing Address - Street 1:PO BOX 19241
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92159-0241
Mailing Address - Country:US
Mailing Address - Phone:619-733-9937
Mailing Address - Fax:833-515-2618
Practice Address - Street 1:5005 TEXAS ST FL 4
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3725
Practice Address - Country:US
Practice Address - Phone:619-204-4442
Practice Address - Fax:833-515-2618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty