Provider Demographics
NPI:1114597937
Name:EMPOWERING BEHAVIOR, LLC
Entity Type:Organization
Organization Name:EMPOWERING BEHAVIOR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BIEBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-206-0205
Mailing Address - Street 1:151 GRANITE WAY
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-8217
Mailing Address - Country:US
Mailing Address - Phone:302-314-5228
Mailing Address - Fax:
Practice Address - Street 1:151 GRANITE WAY
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-8217
Practice Address - Country:US
Practice Address - Phone:302-314-5228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty