Provider Demographics
NPI:1922827112
Name:QUEST BEHAVIOR THERAPY
Entity type:Organization
Organization Name:QUEST BEHAVIOR THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN PAUL
Authorized Official - Middle Name:VILORIA
Authorized Official - Last Name:QUIOCHO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:818-793-3530
Mailing Address - Street 1:6914 HAZELTINE AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-5306
Mailing Address - Country:US
Mailing Address - Phone:818-793-3530
Mailing Address - Fax:
Practice Address - Street 1:3600 WILSHIRE BLVD STE 932
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-2613
Practice Address - Country:US
Practice Address - Phone:818-793-3530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty