Provider Demographics
NPI:1861999880
Name:BEHAVIOR INTEGRATED LEARNING & DEVELOPMENT, INC.
Entity type:Organization
Organization Name:BEHAVIOR INTEGRATED LEARNING & DEVELOPMENT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:J
Authorized Official - Last Name:KARUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-333-2453
Mailing Address - Street 1:67 S BEDFORD ST
Mailing Address - Street 2:SUITE 400 WEST
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-5108
Mailing Address - Country:US
Mailing Address - Phone:844-333-2453
Mailing Address - Fax:844-333-2453
Practice Address - Street 1:67 S BEDFORD ST
Practice Address - Street 2:SUITE 400 WEST
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-5108
Practice Address - Country:US
Practice Address - Phone:844-333-2453
Practice Address - Fax:844-333-2453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-06
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty