Provider Demographics
NPI:1174984090
Name:BENCHMARK BEHAVIORAL SOLUTIONS LLC
Entity type:Organization
Organization Name:BENCHMARK BEHAVIORAL SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:N
Authorized Official - Last Name:ROBAKIEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSED, BCBA, LABA
Authorized Official - Phone:413-684-8619
Mailing Address - Street 1:110 COLUMBIA ST
Mailing Address - Street 2:1ST FLOOR SOUTH
Mailing Address - City:ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01220-1302
Mailing Address - Country:US
Mailing Address - Phone:413-684-8619
Mailing Address - Fax:413-684-8619
Practice Address - Street 1:110 COLUMBIA ST
Practice Address - Street 2:1ST FLOOR SOUTH
Practice Address - City:ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01220-1302
Practice Address - Country:US
Practice Address - Phone:413-684-8619
Practice Address - Fax:413-684-8619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-20
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty