Provider Demographics
NPI:1275247900
Name:SWICORD CONSULTING CO
Entity Type:Organization
Organization Name:SWICORD CONSULTING CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWICORD
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:334-596-6912
Mailing Address - Street 1:711 UNDERWOOD AVE APT 508A
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-8858
Mailing Address - Country:US
Mailing Address - Phone:334-596-6912
Mailing Address - Fax:
Practice Address - Street 1:711 UNDERWOOD AVE APT 508A
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8858
Practice Address - Country:US
Practice Address - Phone:334-596-6912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health