Provider Demographics
NPI:1255995007
Name:BEHAVIORAL HARMONY LTD
Entity type:Organization
Organization Name:BEHAVIORAL HARMONY LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:MSPSY, BCBA, COBA
Authorized Official - Phone:330-685-3885
Mailing Address - Street 1:4310 AVONDALE LN NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-1670
Mailing Address - Country:US
Mailing Address - Phone:330-685-3885
Mailing Address - Fax:330-319-8330
Practice Address - Street 1:4310 AVONDALE LN NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-1670
Practice Address - Country:US
Practice Address - Phone:330-685-3885
Practice Address - Fax:330-319-8330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-26
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0351564Medicaid