Provider Demographics
NPI:1265864276
Name:STRATEGIC BEHAVIORAL SOLUTIONS LLC
Entity Type:Organization
Organization Name:STRATEGIC BEHAVIORAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERION
Authorized Official - Middle Name:
Authorized Official - Last Name:KODRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-955-0160
Mailing Address - Street 1:390A SOUTHBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-2456
Mailing Address - Country:US
Mailing Address - Phone:508-321-7141
Mailing Address - Fax:508-772-0050
Practice Address - Street 1:390A SOUTHBRIDGE ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2456
Practice Address - Country:US
Practice Address - Phone:508-321-7141
Practice Address - Fax:508-772-0050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-31
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty