Behavioral Reform Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY-164 Issued in ID

Legal business name

BEHAVIORAL REFORM INC

Practice address

1135 Yellowstone Ave Ste D
Pocatello, ID 83201-4371

Phone

(208) 238-9400

Fax

(208) 238-9401

NPI assigned

May 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gary O Horton, PH.D, LP, LCPC, NCC

Title

Owner

Phone

(208) 782-0376

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arlene J May, L.C.P.C., L.S.W.

  • Social Worker
  • Blackfoot, ID
  • NPI 1659584183
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023221504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N SHILLING AVE",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832212334",
            "telephone_number": "208-782-0376",
            "fax_number": "208-782-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 YELLOWSTONE AVE STE D",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014371",
            "telephone_number": "208-238-9400",
            "fax_number": "208-238-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL REFORM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-782-0376",
        "authorized_official_credential": "PH.D, LP, LCPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "PSY-164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behavioral Enhancement Services & Treatment LLC
• Behavioral Enhancement Services & Treatment LLC (Southeast Idaho Behavioral Crisis Center)
• Behavioral Enhancement Services & Treatment LLC
• Behavioral Enhancement Services & Treatment LLC
• Behavioral Enhancement Services & Treatment LLC
• Behavioral Treatment Center, LLC
• Behavioral Treatment Services
• Behavioral Treatment Services
• Alexander Behnam, DO
• Kristina Marie Bell, LCSW

• Community/Behavioral Health Agency in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.