Provider Demographics
NPI:1194286351
Name:BEHAVIORS INTERVENTION, INC.
Entity type:Organization
Organization Name:BEHAVIORS INTERVENTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROJECT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:BURNETTE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:570-807-8771
Mailing Address - Street 1:354 MEMORIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:TOBYHANNA
Mailing Address - State:PA
Mailing Address - Zip Code:18466-7786
Mailing Address - Country:US
Mailing Address - Phone:570-894-3272
Mailing Address - Fax:
Practice Address - Street 1:354 MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:TOBYHANNA
Practice Address - State:PA
Practice Address - Zip Code:18466-7786
Practice Address - Country:US
Practice Address - Phone:570-894-3272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty