Provider Demographics
NPI:1245981034
Name:BEHAVIORAL CONQUEST INC
Entity type:Organization
Organization Name:BEHAVIORAL CONQUEST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:CUEVAS-CARBAJAL
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:626-484-0969
Mailing Address - Street 1:16109 E BALLENTINE PL
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91722-3319
Mailing Address - Country:US
Mailing Address - Phone:626-484-0969
Mailing Address - Fax:
Practice Address - Street 1:325 N SAINT PAUL ST STE 3100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-3923
Practice Address - Country:US
Practice Address - Phone:888-320-3222
Practice Address - Fax:347-402-2106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty