Provider Demographics
NPI:1336577055
Name:APPLIED BEHAVIORAL SOLUTIONS INTERNATIONAL
Entity Type:Organization
Organization Name:APPLIED BEHAVIORAL SOLUTIONS INTERNATIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:FORTH
Authorized Official - Suffix:
Authorized Official - Credentials:BCABA
Authorized Official - Phone:512-699-0313
Mailing Address - Street 1:PO BOX 61
Mailing Address - Street 2:
Mailing Address - City:WIMBERLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78676-0061
Mailing Address - Country:US
Mailing Address - Phone:512-699-0313
Mailing Address - Fax:
Practice Address - Street 1:501 RIVER RD
Practice Address - Street 2:
Practice Address - City:WIMBERLEY
Practice Address - State:TX
Practice Address - Zip Code:78676-5133
Practice Address - Country:US
Practice Address - Phone:512-699-0313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-15
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0-05-1774251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health