Provider Demographics
NPI:1831902022
Name:BEHAVIOR TALKS LLC
Entity type:Organization
Organization Name:BEHAVIOR TALKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMERY
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:KOETJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-245-7816
Mailing Address - Street 1:PO BOX 92
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:MI
Mailing Address - Zip Code:49412-0092
Mailing Address - Country:US
Mailing Address - Phone:231-245-7816
Mailing Address - Fax:
Practice Address - Street 1:1844 CREE RD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:MI
Practice Address - Zip Code:49412-8729
Practice Address - Country:US
Practice Address - Phone:231-245-7816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty