Provider Demographics
NPI:1659555852
Name:BEHAVIOR SERVICES & THERAPY, INC.
Entity Type:Organization
Organization Name:BEHAVIOR SERVICES & THERAPY, INC.
Other - Org Name:BEHAVIOR SERVICES & THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCHANAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-231-8000
Mailing Address - Street 1:912 E LASALLE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46617-2817
Mailing Address - Country:US
Mailing Address - Phone:574-231-8000
Mailing Address - Fax:574-231-8013
Practice Address - Street 1:912 E LASALLE AVE
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46617-2817
Practice Address - Country:US
Practice Address - Phone:574-231-8000
Practice Address - Fax:574-231-8013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health