Provider Demographics
NPI:1598821605
Name:BEHAVIOR CONSULTANTS, INC.
Entity Type:Organization
Organization Name:BEHAVIOR CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DALLAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:MULVANEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, HSPP
Authorized Official - Phone:317-254-0435
Mailing Address - Street 1:2506 WILLOWBROOK PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-1548
Mailing Address - Country:US
Mailing Address - Phone:317-254-0435
Mailing Address - Fax:317-252-2622
Practice Address - Street 1:2506 WILLOWBROOK PKWY STE 200
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-1548
Practice Address - Country:US
Practice Address - Phone:317-254-0435
Practice Address - Fax:317-252-2622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20040892A103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty