Provider Demographics
NPI:1508466434
Name:ADVANCED BEHAVIORAL CONSULTATIONS, LLC
Entity Type:Organization
Organization Name:ADVANCED BEHAVIORAL CONSULTATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHASITY
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-283-4329
Mailing Address - Street 1:10151 N REYNARD RD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47320-9107
Mailing Address - Country:US
Mailing Address - Phone:765-283-4329
Mailing Address - Fax:
Practice Address - Street 1:10151 N REYNARD RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47320-9107
Practice Address - Country:US
Practice Address - Phone:765-283-4329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-29
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty