Provider Demographics
NPI:1083237176
Name:APPLIED BEHAVIORAL COUNSELING PC
Entity type:Organization
Organization Name:APPLIED BEHAVIORAL COUNSELING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BETESH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-352-5010
Mailing Address - Street 1:3501 N 53RD AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-2333
Mailing Address - Country:US
Mailing Address - Phone:866-352-5010
Mailing Address - Fax:
Practice Address - Street 1:255 BRUNSWICK ST STE 2
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-1590
Practice Address - Country:US
Practice Address - Phone:866-352-5010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-22
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty