Provider Demographics
NPI:1184109985
Name:ALLIANCE BEHAVIORAL SERVICES
Entity type:Organization
Organization Name:ALLIANCE BEHAVIORAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:757-288-3542
Mailing Address - Street 1:1109 EDEN SQ OFC C
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2750
Mailing Address - Country:US
Mailing Address - Phone:757-288-3542
Mailing Address - Fax:757-317-2755
Practice Address - Street 1:1109 EDEN SQ OFC C
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2750
Practice Address - Country:US
Practice Address - Phone:757-288-3542
Practice Address - Fax:757-317-2755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-27
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty