Provider Demographics
NPI:1609025899
Name:ACTION BEHAVIORAL CONSULTING LLC
Entity Type:Organization
Organization Name:ACTION BEHAVIORAL CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:ANGE
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:SPRUNGER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BACB
Authorized Official - Phone:203-641-0308
Mailing Address - Street 1:26 PERRY ST
Mailing Address - Street 2:UNIT 2
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-4052
Mailing Address - Country:US
Mailing Address - Phone:203-641-0308
Mailing Address - Fax:800-551-0915
Practice Address - Street 1:26 PERRY ST
Practice Address - Street 2:UNIT 2
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-4052
Practice Address - Country:US
Practice Address - Phone:203-641-0308
Practice Address - Fax:800-551-0915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-12
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI1-02-0740251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RILBA00052OtherLICENSED BEHAVIOR ANALYST
MA0223OtherLICENSED BEHAVIOR ANALYST
RI1-02-0740OtherBOARD CERTIFIED BEHAVIOR ANALYST (BCBA) BY THE BACB