Provider Demographics
NPI:1083380083
Name:BEHAVIOR-SAVVY:101, LLC
Entity Type:Organization
Organization Name:BEHAVIOR-SAVVY:101, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:BRIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:410-698-5193
Mailing Address - Street 1:4 ATTENBOROUGH DR APT 201
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-5746
Mailing Address - Country:US
Mailing Address - Phone:410-698-5193
Mailing Address - Fax:443-773-2016
Practice Address - Street 1:4 ATTENBOROUGH DR APT 201
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-5746
Practice Address - Country:US
Practice Address - Phone:410-698-5193
Practice Address - Fax:443-773-2016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty