Provider Demographics
NPI:1316562937
Name:THE BEHAVIOR BUSINESS LLC
Entity Type:Organization
Organization Name:THE BEHAVIOR BUSINESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAEGELE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MBA, BCBA, LBA
Authorized Official - Phone:618-530-8480
Mailing Address - Street 1:1520 W CASINO RD APT A208
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-7932
Mailing Address - Country:US
Mailing Address - Phone:618-530-8480
Mailing Address - Fax:
Practice Address - Street 1:1520 W CASINO RD APT A208
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-7932
Practice Address - Country:US
Practice Address - Phone:618-530-8480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty