Provider Demographics
NPI:1720606957
Name:EVIDENCE BASED CLASSROOM SOLUTIONS
Entity Type:Organization
Organization Name:EVIDENCE BASED CLASSROOM SOLUTIONS
Other - Org Name:EVIDENCE BASED COUNSELING SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BEHAVIOR ANALYST, OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HONEYCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA, LBA
Authorized Official - Phone:434-610-7087
Mailing Address - Street 1:1949 THOMSON DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-1030
Mailing Address - Country:US
Mailing Address - Phone:434-610-7087
Mailing Address - Fax:
Practice Address - Street 1:1949 THOMSON DR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1030
Practice Address - Country:US
Practice Address - Phone:434-610-7087
Practice Address - Fax:434-266-0583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-14
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational MedicineGroup - Single Specialty