Provider Demographics
NPI:1952630782
Name:GOLDEN BEHAVIOR CONSULTING LLC
Entity Type:Organization
Organization Name:GOLDEN BEHAVIOR CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:609-220-1299
Mailing Address - Street 1:PO BOX 1273
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-7273
Mailing Address - Country:US
Mailing Address - Phone:609-220-1299
Mailing Address - Fax:856-433-8723
Practice Address - Street 1:213 SANDRINGHAM RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-1547
Practice Address - Country:US
Practice Address - Phone:609-220-1299
Practice Address - Fax:856-433-8723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty