Provider Demographics
NPI:1578916607
Name:BEHAVIORAL INTERVENTION AND CONSULTING
Entity Type:Organization
Organization Name:BEHAVIORAL INTERVENTION AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LEAD BCBA
Authorized Official - Prefix:
Authorized Official - First Name:CARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:513-492-2374
Mailing Address - Street 1:3322 ERIE AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-1655
Mailing Address - Country:US
Mailing Address - Phone:513-492-2374
Mailing Address - Fax:
Practice Address - Street 1:3322 ERIE AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-1655
Practice Address - Country:US
Practice Address - Phone:513-492-2374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1-16-22536103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty