Provider Demographics
NPI:1578001699
Name:RGV BEHAVIORAL CONSULTANTS, LLC
Entity type:Organization
Organization Name:RGV BEHAVIORAL CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/BCBA
Authorized Official - Prefix:MR
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:NIETO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:956-246-5839
Mailing Address - Street 1:PO BOX 836
Mailing Address - Street 2:
Mailing Address - City:MERCEDES
Mailing Address - State:TX
Mailing Address - Zip Code:78570-0836
Mailing Address - Country:US
Mailing Address - Phone:956-246-5839
Mailing Address - Fax:
Practice Address - Street 1:605 S 7TH ST
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-6965
Practice Address - Country:US
Practice Address - Phone:956-246-5839
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health