1659804268 NPI number — BEHAVIORAL INTERVENTION TECHNIQUES AND HEALTHCARE SERVICES BITH, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659804268 NPI number — BEHAVIORAL INTERVENTION TECHNIQUES AND HEALTHCARE SERVICES BITH, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEHAVIORAL INTERVENTION TECHNIQUES AND HEALTHCARE SERVICES BITH, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659804268
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/10/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
288 HOLLY DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEVITTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19055-1316
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
267-391-7106
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
288 HOLLY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEVITTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19055-1316
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
267-391-7106
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/10/2017

Additional Information

Authorized Official

Authorized Official Last Name:
KEARSEY
Authorized Official First Name:
DOROTHY
Authorized Official Middle Name:
RAE LAVERN
Authorized Official Title or Position:
FOUNDER/CEO
Authorized Official Telephone Number:
267-391-7106

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  0100931855 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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