Provider Demographics
NPI:1992821268
Name:NEEL, QUY H (PHD, BCBA-D)
Entity type:Individual
Prefix:
First Name:QUY
Middle Name:H
Last Name:NEEL
Suffix:
Gender:F
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4213 STATE ST STE 302
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-2859
Mailing Address - Country:US
Mailing Address - Phone:805-683-8060
Mailing Address - Fax:
Practice Address - Street 1:4213 STATE ST STE 302
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-2859
Practice Address - Country:US
Practice Address - Phone:805-683-8060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 22697103TC0700X
CABCBA-D: #1-08-4642103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst