Provider Demographics
NPI:1962751586
Name:ACHIEVE BEHAVIORAL ASSOCIATES, LLC
Entity type:Organization
Organization Name:ACHIEVE BEHAVIORAL ASSOCIATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:KIBLER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:805-816-2024
Mailing Address - Street 1:21143 PLACERITA CANYON RD
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-1922
Mailing Address - Country:US
Mailing Address - Phone:805-816-2024
Mailing Address - Fax:
Practice Address - Street 1:23630 VALENCIA BLVD STE A
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1750
Practice Address - Country:US
Practice Address - Phone:760-282-8081
Practice Address - Fax:661-670-5275
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACHIEVE BEHAVIORAL ASSOCIATES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-29
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty