Provider Demographics
NPI:1235920026
Name:UNITED WAY ABA BEHAVIORAL CONSULTANTS
Entity type:Organization
Organization Name:UNITED WAY ABA BEHAVIORAL CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KARISSA
Authorized Official - Middle Name:R
Authorized Official - Last Name:COLBERT
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:909-414-9003
Mailing Address - Street 1:2999 KENDALL DR
Mailing Address - Street 2:STE 204 PMB 1040
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92407
Mailing Address - Country:US
Mailing Address - Phone:909-414-9003
Mailing Address - Fax:
Practice Address - Street 1:6835 PALM AVENUE
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92407
Practice Address - Country:US
Practice Address - Phone:909-414-9003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health