Provider Demographics
NPI:1598208373
Name:BEHAVIOR ANALYST BILLING SERVICES LLC
Entity Type:Organization
Organization Name:BEHAVIOR ANALYST BILLING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:MR
Authorized Official - First Name:EWING
Authorized Official - Middle Name:
Authorized Official - Last Name:LATIMER
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:256-453-4261
Mailing Address - Street 1:18734 GA HIGHWAY 144
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-5628
Mailing Address - Country:US
Mailing Address - Phone:256-453-4261
Mailing Address - Fax:
Practice Address - Street 1:18734 GA HIGHWAY 144
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-5628
Practice Address - Country:US
Practice Address - Phone:256-453-4261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty