Provider Demographics
NPI:1053548792
Name:ALLIED BEHAVIOR SUPPORT SERVICES
Entity type:Organization
Organization Name:ALLIED BEHAVIOR SUPPORT SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALLENA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KIBBY-JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-483-5920
Mailing Address - Street 1:195 N HARDING RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-1525
Mailing Address - Country:US
Mailing Address - Phone:614-483-5920
Mailing Address - Fax:614-414-0221
Practice Address - Street 1:195 N HARDING RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-1525
Practice Address - Country:US
Practice Address - Phone:614-483-5920
Practice Address - Fax:614-414-0221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-21
Last Update Date:2009-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care