Provider Demographics
NPI:1003194184
Name:BEHAVIOR ANALYSIS & THERAPEUTIC ASSOCIATES, INC.
Entity Type:Organization
Organization Name:BEHAVIOR ANALYSIS & THERAPEUTIC ASSOCIATES, INC.
Other - Org Name:BATA INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BERNADINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTAI MCNAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:570-691-6726
Mailing Address - Street 1:600 LYTLE ST
Mailing Address - Street 2:
Mailing Address - City:MINERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17954-1813
Mailing Address - Country:US
Mailing Address - Phone:570-691-6726
Mailing Address - Fax:
Practice Address - Street 1:2751 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRING GLEN
Practice Address - State:PA
Practice Address - Zip Code:17978-9548
Practice Address - Country:US
Practice Address - Phone:570-691-6726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-24
Last Update Date:2011-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1096458103K00000X
PACW0151091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty