Provider Demographics
NPI:1912173543
Name:APPLIED BEHAVIORAL CONCEPTS
Entity type:Organization
Organization Name:APPLIED BEHAVIORAL CONCEPTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:VANCIL
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:256-783-5151
Mailing Address - Street 1:PO BOX 6773
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35813-0773
Mailing Address - Country:US
Mailing Address - Phone:256-783-5151
Mailing Address - Fax:256-837-1838
Practice Address - Street 1:5095 PREMIER DR NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-5909
Practice Address - Country:US
Practice Address - Phone:256-783-5151
Practice Address - Fax:256-837-1838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-04
Last Update Date:2008-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1124235Z00000X
1-06-2786101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty