Provider Demographics
NPI:1205531860
Name:ACT BEHAVIOR CONSULTING
Entity type:Organization
Organization Name:ACT BEHAVIOR CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODARD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA, LBA
Authorized Official - Phone:256-452-5775
Mailing Address - Street 1:650 GRAYWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:EASTABOGA
Mailing Address - State:AL
Mailing Address - Zip Code:36260-5144
Mailing Address - Country:US
Mailing Address - Phone:256-452-5775
Mailing Address - Fax:
Practice Address - Street 1:650 GRAYWOOD AVE
Practice Address - Street 2:
Practice Address - City:EASTABOGA
Practice Address - State:AL
Practice Address - Zip Code:36260-5144
Practice Address - Country:US
Practice Address - Phone:256-452-5775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty