Provider Demographics
NPI:1902984248
Name:ALLIED BEHAVIORAL HEALTH SERVICES, INCORPORATED
Entity Type:Organization
Organization Name:ALLIED BEHAVIORAL HEALTH SERVICES, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:CAPEZZUTO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LISW-S
Authorized Official - Phone:440-734-4037
Mailing Address - Street 1:22540 LORAIN RD
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-2212
Mailing Address - Country:US
Mailing Address - Phone:440-734-4037
Mailing Address - Fax:440-734-4710
Practice Address - Street 1:22540 LORAIN RD
Practice Address - Street 2:
Practice Address - City:FAIRVIEW PARK
Practice Address - State:OH
Practice Address - Zip Code:44126-2212
Practice Address - Country:US
Practice Address - Phone:440-734-4037
Practice Address - Fax:440-734-4710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty