United Behavioral Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

BA-114 Issued in AZ

Legal business name

UNITED BEHAVIORAL SERVICES, LLC

Practice address

3150 N 24TH St Ste C102
Phoenix, AZ 85016-7343

Phone

(602) 206-6046

Fax

(602) 635-7789

NPI assigned

Jun 7, 2016

Last updated

Jun 7, 2016By 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

Dr. Kellie Band, DBH, BCBA, LBANPI 1164832358

Title

Ceo

Phone

(602) 206-6046

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Kellie Band, DBH, BCBA, LBA

  • Behavior Analyst
  • Cave Creek, AZ
  • NPI 1164832358
  NPD (past) Authorized official
• Mariah Locke, BCBA

  • Behavior Analyst
  • Mesa, AZ
  • NPI 1710429345
  NPD (past)

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1639528078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 N 24TH ST STE C102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N 24TH ST STE C102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167343",
            "telephone_number": "602-206-6046",
            "fax_number": "602-635-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "BAND",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-206-6046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBH, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BA-114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PRIVATE",
            "identifier": "1164832358",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.