Provider Demographics
NPI:1427416569
Name:ALLEGHENY BEHAVIOR ANALYSIS SERVICES
Entity Type:Organization
Organization Name:ALLEGHENY BEHAVIOR ANALYSIS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:E
Authorized Official - Last Name:CWYNAR
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA, LBS
Authorized Official - Phone:412-295-6734
Mailing Address - Street 1:3000 MCKNIGHT EAST DR STE 102
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-6422
Mailing Address - Country:US
Mailing Address - Phone:412-295-6734
Mailing Address - Fax:412-837-1290
Practice Address - Street 1:3000 MCKNIGHT EAST DR STE 102
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237
Practice Address - Country:US
Practice Address - Phone:412-295-6734
Practice Address - Fax:412-837-1290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-03
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty