Provider Demographics
NPI:1437282860
Name:APPLIED BEHAVIORAL CONSULTANTS, INC.
Entity Type:Organization
Organization Name:APPLIED BEHAVIORAL CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:REUTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-830-0726
Mailing Address - Street 1:5275 EDINA INDUSTRIAL BLVD
Mailing Address - Street 2:#103
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2918
Mailing Address - Country:US
Mailing Address - Phone:952-830-0726
Mailing Address - Fax:952-831-1783
Practice Address - Street 1:5275 EDINA INDUSTRIAL BLVD
Practice Address - Street 2:#103
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2918
Practice Address - Country:US
Practice Address - Phone:952-830-0726
Practice Address - Fax:952-831-1783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty