Provider Demographics
NPI:1760779367
Name:THE BEHAVIOR PROJECT, LLC
Entity Type:Organization
Organization Name:THE BEHAVIOR PROJECT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARLEY
Authorized Official - Middle Name:D
Authorized Official - Last Name:STARLING
Authorized Official - Suffix:
Authorized Official - Credentials:BCABA
Authorized Official - Phone:719-313-2709
Mailing Address - Street 1:1155 KELLY JOHNSON BLVD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-3932
Mailing Address - Country:US
Mailing Address - Phone:719-313-2709
Mailing Address - Fax:
Practice Address - Street 1:1155 KELLY JOHNSON BLVD
Practice Address - Street 2:SUITE 111
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3932
Practice Address - Country:US
Practice Address - Phone:719-313-2709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty