Healthcare Provider Details

I. General information

NPI: 1992721526
Provider Name (Legal Business Name): BEHAVIOR SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 12/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 COPPER TREE CT
O FALLON MO
63368-6339
US

IV. Provider business mailing address

321 COPPER TREE CT
O FALLON MO
63368-6339
US

V. Phone/Fax

Practice location:
  • Phone: 636-265-0407
  • Fax: 636-265-0407
Mailing address:
  • Phone: 636-265-0407
  • Fax: 636-265-0407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. COLIN M. PEELER
Title or Position: PRESIDENT
Credential: PHD
Phone: 636-265-0407