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Contact Information

GENESIS BEHAVIOR CENTER, INC
528 14TH GENESIS BEHAVIOR CENTER, INC.
MODESTO, CA95354
 Phone: 209-577-2014
 Fax: 209-577-1718
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GENESIS BEHAVIOR CENTER, INC

NPI # 1689909582
LBN Legal business name GENESIS BEHAVIOR CENTER, INC
Authorized official ROMINA KIRYAKOUS - (BEHAVIOR ANALYST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/09/2009
Last updated 10/09/2009 - About 17 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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