Provider Demographics
NPI:1962648774
Name:PROJECT POINT OF LIGHT OF DUBOIS INC
Entity Type:Organization
Organization Name:PROJECT POINT OF LIGHT OF DUBOIS INC
Other - Org Name:ALLENBAUGH BEHAVIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:G
Authorized Official - Last Name:ALLENBAUGH
Authorized Official - Suffix:II
Authorized Official - Credentials:PSYCHOLOGIST
Authorized Official - Phone:814-371-5565
Mailing Address - Street 1:170 MCCRACKEN RUN ROAD
Mailing Address - Street 2:
Mailing Address - City:DUBOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-3616
Mailing Address - Country:US
Mailing Address - Phone:814-371-5565
Mailing Address - Fax:
Practice Address - Street 1:170 MCCRACKEN RUN RD
Practice Address - Street 2:
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-3616
Practice Address - Country:US
Practice Address - Phone:814-371-5565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-29
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007390L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty