Provider Demographics
NPI:1588306906
Name:LISTEN-2-ME
Entity type:Organization
Organization Name:LISTEN-2-ME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ BCBA
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ANAYA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:714-707-7803
Mailing Address - Street 1:1925 W COLLEGE AVE APT 252
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92407-3395
Mailing Address - Country:US
Mailing Address - Phone:714-707-7803
Mailing Address - Fax:714-984-0281
Practice Address - Street 1:421 N BROOKHURST ST STE 130
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5618
Practice Address - Country:US
Practice Address - Phone:714-707-7803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-07
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty