Source 1 Behavioral Services, Llc

LBN: Source 1 Behavioral Services, Llc
Source 1 Behavioral Services, Llc is an health care organization with primary practice located at 222 W 6Th St Ste 400 , San Pedro CA 90731-3345. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Source 1 Behavioral Services, Llc can be contacted via phone (562) 708-7639, or through Baker, Danielle Marie via phone (562) 708-7639.

Contact Information

Primary practice address
222 W 6Th St Ste 400 San Pedro CA 90731-3345
Phone: (562) 708-7639
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Baker, Danielle Marie BCBA
Phone: (562) 708-7639

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1356016539
LBN Legal business name Source 1 Behavioral Services, Llc
DBA Doing business as
Authorized official Baker, Danielle Marie BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2021
Last updated Aug 10th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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