Mountainside Behavior Analysis Services, Lcc
NPI #1225574544 in Davis, West Virginia
Provider Information
- NPI Number
- 1225574544
- Entity Type
- Organization
- Organization Name
- Mountainside Behavior Analysis Services, Lcc
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 10, 2017
- Last Updated
- Mar 17, 2022
Practice Location
- Address
- 25 THISTLE LN
- City
- Davis
- State
- West Virginia
- ZIP Code
- 26260-1104
- Phone
- (304) 801-3258
Authorized Official
- Name
- ELIZABETH SIMONS, BCBA
- Title
- OWNER
- Phone
- (304) 851-6643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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