Provider Demographics
NPI:1396207825
Name:HUNTSVILLE BEHAVIOR ASSOCIATES
Entity type:Organization
Organization Name:HUNTSVILLE BEHAVIOR ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/BCBA
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:256-508-7836
Mailing Address - Street 1:209 WESTCHESTER AVE SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3305
Mailing Address - Country:US
Mailing Address - Phone:256-508-7836
Mailing Address - Fax:
Practice Address - Street 1:209 WESTCHESTER AVE SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3305
Practice Address - Country:US
Practice Address - Phone:256-508-7836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1306205349OtherOUPATIENT MENTAL HEALTH
1518463520OtherOUTPATIENT MENTAL HEALTH