Provider Demographics
NPI:1457745374
Name:BEHAVIOR THERAPY INTERNATIONAL LLC
Entity Type:Organization
Organization Name:BEHAVIOR THERAPY INTERNATIONAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCHBACH
Authorized Official - Suffix:
Authorized Official - Credentials:MA BCBA
Authorized Official - Phone:717-802-1732
Mailing Address - Street 1:325 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:WORMLEYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17043-1104
Mailing Address - Country:US
Mailing Address - Phone:844-588-4222
Mailing Address - Fax:717-775-3443
Practice Address - Street 1:325 N 2ND ST
Practice Address - Street 2:
Practice Address - City:WORMLEYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17043-1104
Practice Address - Country:US
Practice Address - Phone:844-588-4222
Practice Address - Fax:717-775-3443
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BTI GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-28
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH002564103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty