Healthcare Provider Details

I. General information

NPI: 1821217019
Provider Name (Legal Business Name): APPLIED BEHAVIORAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 PARK 42 DR STE 105A
SHARONVILLE OH
45241-2081
US

IV. Provider business mailing address

2 VILLAGE SQ STE 210
BALTIMORE MD
21210-1624
US

V. Phone/Fax

Practice location:
  • Phone: 513-861-0300
  • Fax: 513-861-0121
Mailing address:
  • Phone: 609-525-4271
  • Fax: 443-743-3863

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: DEENA STEIN GREENBLATT
Title or Position: ENROLLMENT & PAYOR CONTRACTING
Credential:
Phone: 609-525-4271