Provider Demographics
NPI:1508583584
Name:ALTERNATIVE BEHAVIORS LLC
Entity Type:Organization
Organization Name:ALTERNATIVE BEHAVIORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCRORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-796-7600
Mailing Address - Street 1:38099 SCHOOLCRAFT RD STE 199
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-1029
Mailing Address - Country:US
Mailing Address - Phone:734-796-7600
Mailing Address - Fax:
Practice Address - Street 1:38099 SCHOOLCRAFT RD STE 199
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-1029
Practice Address - Country:US
Practice Address - Phone:734-796-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency