Healthcare Provider Details

I. General information

NPI: 1598827735
Provider Name (Legal Business Name): BEHAVIOR MANAGEMENT CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

365 FREEPORT ST
NEW KENSINGTON PA
15068-6014
US

IV. Provider business mailing address

365 FREEPORT ST
NEW KENSINGTON PA
15068-6014
US

V. Phone/Fax

Practice location:
  • Phone: 724-337-0066
  • Fax: 724-337-0745
Mailing address:
  • Phone: 724-337-0066
  • Fax: 724-337-0745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS003428L
License Number StatePA

VIII. Authorized Official

Name: DR. WILLIAM O HAHN
Title or Position: DIRECTOR
Credential: PHD
Phone: 724-337-0066