Provider Demographics
NPI:1588271654
Name:HELIX BEHAVIORAL SERVICES
Entity type:Organization
Organization Name:HELIX BEHAVIORAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:KILLINGSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:LBA, BCBA
Authorized Official - Phone:775-996-3890
Mailing Address - Street 1:3785 BAKER LN STE 201
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5454
Mailing Address - Country:US
Mailing Address - Phone:209-505-0634
Mailing Address - Fax:
Practice Address - Street 1:3785 BAKER LN STE 201
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-5454
Practice Address - Country:US
Practice Address - Phone:209-505-0634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HELIX BEHAVIORAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-23
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty