Provider Demographics
NPI:1104601269
Name:PROGRESS BEHAVIOR SOLUTIONS LLC
Entity type:Organization
Organization Name:PROGRESS BEHAVIOR SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIEBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-573-4092
Mailing Address - Street 1:21993 SHERRED HILL RD
Mailing Address - Street 2:
Mailing Address - City:VENANGO
Mailing Address - State:PA
Mailing Address - Zip Code:16440-2525
Mailing Address - Country:US
Mailing Address - Phone:814-573-4092
Mailing Address - Fax:
Practice Address - Street 1:21993 SHERRED HILL RD
Practice Address - Street 2:
Practice Address - City:VENANGO
Practice Address - State:PA
Practice Address - Zip Code:16440-2525
Practice Address - Country:US
Practice Address - Phone:814-573-4092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health