Provider Demographics
NPI:1639586050
Name:BEHAVIOR CONSULTING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:BEHAVIOR CONSULTING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JODIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BONE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:314-323-3604
Mailing Address - Street 1:855 MEADOWLANDS DR
Mailing Address - Street 2:
Mailing Address - City:CENTERTON
Mailing Address - State:AR
Mailing Address - Zip Code:72719-9228
Mailing Address - Country:US
Mailing Address - Phone:314-323-3604
Mailing Address - Fax:
Practice Address - Street 1:855 MEADOWLANDS DR
Practice Address - Street 2:
Practice Address - City:CENTERTON
Practice Address - State:AR
Practice Address - Zip Code:72719-9228
Practice Address - Country:US
Practice Address - Phone:314-323-3604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1-14-16827103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty