Provider Demographics
NPI:1124783972
Name:ENVIRONMENTAL BEHAVIOR SOLUTIONS
Entity type:Organization
Organization Name:ENVIRONMENTAL BEHAVIOR SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:C
Authorized Official - Last Name:CAMMARATA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:330-565-3386
Mailing Address - Street 1:10692 LEONARD CORDOVA RD
Mailing Address - Street 2:
Mailing Address - City:RENICK
Mailing Address - State:WV
Mailing Address - Zip Code:24966-7256
Mailing Address - Country:US
Mailing Address - Phone:330-565-3386
Mailing Address - Fax:
Practice Address - Street 1:10692 LEONARD CORDOVA RD
Practice Address - Street 2:
Practice Address - City:RENICK
Practice Address - State:WV
Practice Address - Zip Code:24966-7256
Practice Address - Country:US
Practice Address - Phone:330-565-3386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-06
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty