Provider Demographics
NPI:1710618020
Name:AUTISM BEHAVIOR HEALTH THERAPY LLC
Entity Type:Organization
Organization Name:AUTISM BEHAVIOR HEALTH THERAPY LLC
Other - Org Name:AUTISM BEHAVIOR HEALTH THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-814-8542
Mailing Address - Street 1:36 MCKINNON RD
Mailing Address - Street 2:
Mailing Address - City:BUCKSPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04416-4223
Mailing Address - Country:US
Mailing Address - Phone:207-814-8542
Mailing Address - Fax:207-261-1142
Practice Address - Street 1:36 MCKINNON RD
Practice Address - Street 2:
Practice Address - City:BUCKSPORT
Practice Address - State:ME
Practice Address - Zip Code:04416-4223
Practice Address - Country:US
Practice Address - Phone:207-814-8542
Practice Address - Fax:207-261-1124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-19
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty