Provider Demographics
NPI:1033438924
Name:BEHAVIOR INC
Entity type:Organization
Organization Name:BEHAVIOR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:WEADICK
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:317-670-5120
Mailing Address - Street 1:2265 SUNDERLAND DR
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46151-8104
Mailing Address - Country:US
Mailing Address - Phone:317-670-5120
Mailing Address - Fax:
Practice Address - Street 1:2265 SUNDERLAND DR
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46151-8104
Practice Address - Country:US
Practice Address - Phone:317-670-5120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health