Provider Demographics
NPI:1528483674
Name:BEHAVIOR INTERVENTIONS
Entity type:Organization
Organization Name:BEHAVIOR INTERVENTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-324-8308
Mailing Address - Street 1:263 NORTHDOWN DR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-9745
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:484-329-8307
Practice Address - Street 1:263 NORTHDOWN DR
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-9745
Practice Address - Country:US
Practice Address - Phone:610-547-6424
Practice Address - Fax:484-329-8307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-26
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health