Healthcare Provider Details

I. General information

NPI: 1194894170
Provider Name (Legal Business Name): BEHAVIORAL SCIENCE ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 14TH ST SUITE 805
WHEELING WV
26003-3433
US

IV. Provider business mailing address

RR 2 BOX 238
TRIADELPHIA WV
26059-9610
US

V. Phone/Fax

Practice location:
  • Phone: 304-232-7295
  • Fax: 304-232-7296
Mailing address:
  • Phone: 304-336-9963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number241
License Number StateWV

VIII. Authorized Official

Name: DR. BARBARA L RUSH
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 304-336-9963