Provider Demographics
NPI:1972102564
Name:BEHAVE YOURSELF LLC
Entity Type:Organization
Organization Name:BEHAVE YOURSELF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:I
Authorized Official - Last Name:BABEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-304-2543
Mailing Address - Street 1:27 PARK RD
Mailing Address - Street 2:
Mailing Address - City:IVORYTON
Mailing Address - State:CT
Mailing Address - Zip Code:06442-1228
Mailing Address - Country:US
Mailing Address - Phone:860-304-2543
Mailing Address - Fax:
Practice Address - Street 1:27 PARK RD
Practice Address - Street 2:
Practice Address - City:IVORYTON
Practice Address - State:CT
Practice Address - Zip Code:06442-1228
Practice Address - Country:US
Practice Address - Phone:860-304-2543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty