Provider Demographics
NPI:1356949507
Name:DCS APPLIED BEHAVIOR ANALYSIS, LLC
Entity type:Organization
Organization Name:DCS APPLIED BEHAVIOR ANALYSIS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR AND ADMIN. DIR.
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:CAROLINE
Authorized Official - Last Name:SIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA, LBS
Authorized Official - Phone:610-715-3240
Mailing Address - Street 1:240 WINDING WAY
Mailing Address - Street 2:
Mailing Address - City:TELFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18969-2165
Mailing Address - Country:US
Mailing Address - Phone:610-715-3240
Mailing Address - Fax:801-697-5403
Practice Address - Street 1:240 WINDING WAY
Practice Address - Street 2:
Practice Address - City:TELFORD
Practice Address - State:PA
Practice Address - Zip Code:18969-2165
Practice Address - Country:US
Practice Address - Phone:610-715-3240
Practice Address - Fax:801-697-5403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-10
Last Update Date:2020-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty