Provider Demographics
NPI:1316567688
Name:THE BEEHAVIOR COMPANY, LLC.
Entity Type:Organization
Organization Name:THE BEEHAVIOR COMPANY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:P
Authorized Official - Last Name:FORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-214-3551
Mailing Address - Street 1:1660 DEKALB AVE NE STE 204
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-2190
Mailing Address - Country:US
Mailing Address - Phone:586-214-3551
Mailing Address - Fax:
Practice Address - Street 1:1660 DEKALB AVE NE STE 204
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307-2190
Practice Address - Country:US
Practice Address - Phone:586-214-3551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-16
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty