A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Behavior Analyst |
103K00000X | |||
Clinical Child & Adolescent |
103TC2200X | 62 | Psychologist, Clinical | |
Mental Health |
101YM0800X |
| NPI Number | 1427442169 |
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| LBN Legal business name | BROKEN BUT YET HEALED THERAPEUTIC SERVICES LLC | ||||
| Authorized official | LASHEENA DAVIS - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/19/2015 | ||||
| Last updated | 04/21/2015 - About 11 years ago | ||||
| Identifiers |
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