Organization Name: | BEHAVIORAL CONSULTANTS LLC |
NPI Number: | 1245550250 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT DALTON (DIRECTOR) |
Mailing Address: | 11206 Woodtown Rd Galena |
State: | OH US |
Postal Code: | 430219638 |
Phone Number: | 6149232585 |
Fax Number: | 6149232585 |
NPI Enumeration Date: | 06/02/2010 |
NPI Last Update Date: | 12/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TR0400X |
License Number: | 6606 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |