Provider Demographics
NPI:1114674827
Name:CHILD BEHAVIOR SUPPORT SERVICES, LLC
Entity Type:Organization
Organization Name:CHILD BEHAVIOR SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABBY
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:BARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, COBA
Authorized Official - Phone:614-209-8268
Mailing Address - Street 1:5919 BABBITT RD
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-9788
Mailing Address - Country:US
Mailing Address - Phone:614-209-8268
Mailing Address - Fax:614-350-3774
Practice Address - Street 1:5919 BABBITT RD
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-9788
Practice Address - Country:US
Practice Address - Phone:614-209-8268
Practice Address - Fax:614-350-3774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2023-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No347C00000XTransportation ServicesPrivate VehicleGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty