Provider Demographics
NPI:1184011801
Name:BEHAVIOR CONSULTING SERVICES, LLC
Entity Type:Organization
Organization Name:BEHAVIOR CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:JURIK
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA, COBA
Authorized Official - Phone:440-420-1170
Mailing Address - Street 1:2008 SAVANNAH PKWY
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-1852
Mailing Address - Country:US
Mailing Address - Phone:440-420-1170
Mailing Address - Fax:
Practice Address - Street 1:2008 SAVANNAH PKWY
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-1852
Practice Address - Country:US
Practice Address - Phone:440-420-1170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH47103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty