Provider Demographics
NPI:1366072134
Name:ALLGOOD BEHAVIORAL SERVICES LLC
Entity type:Organization
Organization Name:ALLGOOD BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLGOOD
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:812-319-4151
Mailing Address - Street 1:2716 WHEATON DR
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47725-6711
Mailing Address - Country:US
Mailing Address - Phone:812-319-4151
Mailing Address - Fax:
Practice Address - Street 1:2716 WHEATON DR
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47725-6711
Practice Address - Country:US
Practice Address - Phone:812-319-4151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty