Provider Demographics
NPI:1972880730
Name:BEHAVIOR TRAINING CONSULTATNTS LLC
Entity type:Organization
Organization Name:BEHAVIOR TRAINING CONSULTATNTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOHLHEPP
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:443-305-2276
Mailing Address - Street 1:137 KENTUCKY AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-5400
Mailing Address - Country:US
Mailing Address - Phone:443-305-2276
Mailing Address - Fax:443-817-2375
Practice Address - Street 1:137 KENTUCKY AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-5400
Practice Address - Country:US
Practice Address - Phone:443-305-2276
Practice Address - Fax:443-817-2375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1073577103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1154587707OtherTRICARE