Provider Demographics
NPI:1356464630
Name:REGIONAL BEHAVIORAL CONSULTANTS INC.
Entity Type:Organization
Organization Name:REGIONAL BEHAVIORAL CONSULTANTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, MED LBS
Authorized Official - Phone:814-336-2848
Mailing Address - Street 1:12891 STATE HIGHWAY 98
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-7337
Mailing Address - Country:US
Mailing Address - Phone:814-336-2848
Mailing Address - Fax:814-336-2849
Practice Address - Street 1:12891 STATE HIGHWAY 98
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-7337
Practice Address - Country:US
Practice Address - Phone:814-336-2848
Practice Address - Fax:814-336-2849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1009846840003Medicaid
PA0018048860004OtherMA PROVIDER BILLING NUMBE
PA1009846840001OtherMA PROVIDER NUMBER