| Pacific Behavioral Services Llc | |
|
6120 Sutter St Ventura CA 93003-2431 | |
| (949) 751-7233 | |
| Not Available |
| Full Name | Pacific Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6120 Sutter St, Ventura, California |
| Authorized Official Name and Position | Benjamin Alan Ingalls (OWNER/BCBA) |
| Authorized Official Contact | 9497517233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Behavioral Services Llc 6120 Sutter St Ventura CA 93003-2431 Ph: (949) 751-7233 | Pacific Behavioral Services Llc 6120 Sutter St Ventura CA 93003-2431 Ph: (949) 751-7233 |
| NPI Number | 1366230542 |
|---|---|
| Provider Enumeration Date | 04/28/2025 |
| Last Update Date | 04/28/2025 |
| Certification Date | 04/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366230542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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