Provider Demographics
NPI:1689839938
Name:BEHAVIORAL INTERVENTION SERVICES, INC.
Entity Type:Organization
Organization Name:BEHAVIORAL INTERVENTION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:BRANDY
Authorized Official - Last Name:WORTHY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:256-527-8061
Mailing Address - Street 1:2617 BELLE MEADE DR NE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35811-1909
Mailing Address - Country:US
Mailing Address - Phone:256-527-8061
Mailing Address - Fax:
Practice Address - Street 1:2617 BELLE MEADE DR NE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35811-1909
Practice Address - Country:US
Practice Address - Phone:256-527-8061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1052482251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services