Provider Demographics
NPI:1407231749
Name:BEHAVIOR DYNAMICS & EDUCATION SERVICES
Entity Type:Organization
Organization Name:BEHAVIOR DYNAMICS & EDUCATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERSTADT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-514-4415
Mailing Address - Street 1:4000 S YORKTOWN WAY
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-6036
Mailing Address - Country:US
Mailing Address - Phone:301-514-4415
Mailing Address - Fax:703-723-0521
Practice Address - Street 1:4000 S YORKTOWN WAY
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706
Practice Address - Country:US
Practice Address - Phone:301-514-4415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty