Provider Demographics
NPI:1013403476
Name:INSIGHT HOME BEHAVIOR SYSTEMS
Entity Type:Organization
Organization Name:INSIGHT HOME BEHAVIOR SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:781-698-9523
Mailing Address - Street 1:1462 S GREENMOUNT DR APT T3
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311-2321
Mailing Address - Country:US
Mailing Address - Phone:781-698-9523
Mailing Address - Fax:
Practice Address - Street 1:1462 S GREENMOUNT DR APT T3
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-2321
Practice Address - Country:US
Practice Address - Phone:781-698-9523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLBA423103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty