Provider Demographics
NPI:1831775493
Name:BEHAVIOR ANALYSIS CORPORATION
Entity type:Organization
Organization Name:BEHAVIOR ANALYSIS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADEDAYO
Authorized Official - Middle Name:MOJEED
Authorized Official - Last Name:ADENEKAN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:314-740-5639
Mailing Address - Street 1:109 COUNTRY CLUB EST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:IL
Mailing Address - Zip Code:62881-3631
Mailing Address - Country:US
Mailing Address - Phone:314-740-5639
Mailing Address - Fax:
Practice Address - Street 1:109 COUNTRY CLUB EST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:IL
Practice Address - Zip Code:62881-3631
Practice Address - Country:US
Practice Address - Phone:314-740-5639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-23
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty