Provider Demographics
NPI:1194894170
Name:BEHAVIORAL SCIENCE ASSOCIATES, INC.
Entity type:Organization
Organization Name:BEHAVIORAL SCIENCE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:RUSH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:304-336-9963
Mailing Address - Street 1:RR 2 BOX 238
Mailing Address - Street 2:
Mailing Address - City:TRIADELPHIA
Mailing Address - State:WV
Mailing Address - Zip Code:26059-9610
Mailing Address - Country:US
Mailing Address - Phone:304-336-9963
Mailing Address - Fax:
Practice Address - Street 1:53 14TH ST
Practice Address - Street 2:SUITE 805
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3433
Practice Address - Country:US
Practice Address - Phone:304-232-7295
Practice Address - Fax:304-232-7296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV241103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV9480101-000Medicaid
WV5097030OtherAETNA
WV062476OtherVALUE OPTIONS
WV062476OtherVALUE OPTIONS
WV9480101-000Medicaid