Provider Demographics
NPI:1609553379
Name:ANALYTIC BEHAVIORAL SERVICES
Entity Type:Organization
Organization Name:ANALYTIC BEHAVIORAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:DICKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BSL, BCBA
Authorized Official - Phone:215-626-7881
Mailing Address - Street 1:914 SOUTH AVE APT D20
Mailing Address - Street 2:
Mailing Address - City:SECANE
Mailing Address - State:PA
Mailing Address - Zip Code:19018-4465
Mailing Address - Country:US
Mailing Address - Phone:215-626-7881
Mailing Address - Fax:
Practice Address - Street 1:914 SOUTH AVE APT D20
Practice Address - Street 2:
Practice Address - City:SECANE
Practice Address - State:PA
Practice Address - Zip Code:19018-4465
Practice Address - Country:US
Practice Address - Phone:215-626-7881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty