Provider Demographics
NPI:1326737826
Name:PROBEHAVIORAL LLC
Entity Type:Organization
Organization Name:PROBEHAVIORAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMARJEET
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:BIRDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-602-1861
Mailing Address - Street 1:10343 YELLOW LOCUST LN
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45458-9470
Mailing Address - Country:US
Mailing Address - Phone:937-602-1861
Mailing Address - Fax:
Practice Address - Street 1:6210 BELLEFONTAINE RD
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-4009
Practice Address - Country:US
Practice Address - Phone:937-236-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty