Provider Demographics
NPI:1245350156
Name:BEHAVIORAL HEALTH ASSOCIATES INC
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CAFFREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-379-9304
Mailing Address - Street 1:325 ALUM ST
Mailing Address - Street 2:
Mailing Address - City:LEHIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:18235-2167
Mailing Address - Country:US
Mailing Address - Phone:610-379-1266
Mailing Address - Fax:610-379-1288
Practice Address - Street 1:200 BEAVER RUN RD
Practice Address - Street 2:
Practice Address - City:LEHIGHTON
Practice Address - State:PA
Practice Address - Zip Code:18235-1128
Practice Address - Country:US
Practice Address - Phone:610-379-9306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEHAVIORAL HEALTH ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-02
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA211870251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015954270011Medicaid
PAG50898Medicare UPIN