Provider Demographics
NPI:1760671010
Name:CENTER FOR APPLIED BEHAVIORAL SUPPORTS, INC.
Entity Type:Organization
Organization Name:CENTER FOR APPLIED BEHAVIORAL SUPPORTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-310-2429
Mailing Address - Street 1:PO BOX 177
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-0177
Mailing Address - Country:US
Mailing Address - Phone:716-310-2429
Mailing Address - Fax:
Practice Address - Street 1:4383 CRESCENT DR
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14305-1102
Practice Address - Country:US
Practice Address - Phone:716-310-2429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health