Provider Demographics
NPI:1982158978
Name:BEHAVIOR THERAPY INC.
Entity Type:Organization
Organization Name:BEHAVIOR THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASTER SOCIAL WORKER
Authorized Official - Prefix:PROF
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BIANCHINI
Authorized Official - Suffix:
Authorized Official - Credentials:090833
Authorized Official - Phone:631-816-8890
Mailing Address - Street 1:54 WINSTON DR
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-3924
Mailing Address - Country:US
Mailing Address - Phone:631-816-8890
Mailing Address - Fax:
Practice Address - Street 1:54 WINSTON DR
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-3924
Practice Address - Country:US
Practice Address - Phone:631-816-8890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-08
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY090833251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health