NPI 1124783972 · live from the CMS NPI Registry
Environmental Behavior Solutions
Behavior Analyst in Renick, WV. National Provider Identifier 1124783972, active.
NPI record
| NPI | 1124783972 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 10692 Leonard Cordova Rd, Renick, WV 24966 |
| Practice phone | 330-565-3386 |
| Enumerated | November 6, 2021 |
| Last updated | April 9, 2025 |
| Authorized official | Jennifer Cammarata, Supervisor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
| Community/Behavioral Health | 251S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.