Provider Demographics
NPI:1487890422
Name:ALLIED BEHAVIORAL SERVICES, INC.
Entity type:Organization
Organization Name:ALLIED BEHAVIORAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:PROSSER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYCHOLOGIST, BA
Authorized Official - Phone:423-899-4747
Mailing Address - Street 1:5323 BRAINERD RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-5305
Mailing Address - Country:US
Mailing Address - Phone:423-899-4717
Mailing Address - Fax:
Practice Address - Street 1:5323 BRAINERD RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-5305
Practice Address - Country:US
Practice Address - Phone:423-899-4717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty