Organization Active NPI

Environmental Behavior Solutions

  • Behavior Analyst
  • Renick, WV
National Provider Identifier
1124783972
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ENVIRONMENTAL BEHAVIOR SOLUTIONS
Practice address
10692 Leonard Cordova Rd
Renick, WV 24966-7256
Phone
(330) 565-3386
NPI assigned
Nov 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Jennifer C Cammarata, BCBANPI 1245884741
Title
Supervisor
Phone
(330) 565-3386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

10692 Leonard Cordova Rd
Renick, WV 24966-7256

Mailing address

10692 Leonard Cordova Rd
Renick, WV 24966-7256
Phone (330) 565-3386

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1124783972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10692 LEONARD CORDOVA RD",
            "city": "RENICK",
            "state": "WV",
            "postal_code": "249667256",
            "telephone_number": "330-565-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10692 LEONARD CORDOVA RD",
            "city": "RENICK",
            "state": "WV",
            "postal_code": "249667256",
            "telephone_number": "330-565-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVIRONMENTAL BEHAVIOR SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-06",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "CAMMARATA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "330-565-3386",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renick, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.