Provider Demographics
NPI:1417560079
Name:ALTERNATIVE BEHAVIOR SERVICES
Entity Type:Organization
Organization Name:ALTERNATIVE BEHAVIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTABEL
Authorized Official - Middle Name:MWANALITI
Authorized Official - Last Name:DINWIDDIE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:702-272-3073
Mailing Address - Street 1:8134 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-1619
Mailing Address - Country:US
Mailing Address - Phone:702-272-3073
Mailing Address - Fax:
Practice Address - Street 1:8134 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-1619
Practice Address - Country:US
Practice Address - Phone:702-272-3073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty