Provider Demographics
NPI:1659804268
Name:BEHAVIORAL INTERVENTION TECHNIQUES AND HEALTHCARE SERVICES BITH, INC.
Entity Type:Organization
Organization Name:BEHAVIORAL INTERVENTION TECHNIQUES AND HEALTHCARE SERVICES BITH, INC.
Other - Org Name:BITH, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:RAE LAVERN
Authorized Official - Last Name:KEARSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:267-391-7106
Mailing Address - Street 1:288 HOLLY DR
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19055-1316
Mailing Address - Country:US
Mailing Address - Phone:267-391-7106
Mailing Address - Fax:
Practice Address - Street 1:288 HOLLY DR
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19055-1316
Practice Address - Country:US
Practice Address - Phone:267-391-7106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0100931855251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health