Great Lakes Behavioral Services

LBN: Great Lakes Behavioral Services
Great Lakes Behavioral Services is an health care organization with primary practice located at 701 N Niles Ave , South Bend IN 46617-1923. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Great Lakes Behavioral Services can be contacted via phone (574) 393-9955, or through Bradley, Shanti via phone (574) 393-9955.

Contact Information

Primary practice address
701 N Niles Ave South Bend IN 46617-1923
Phone: (574) 393-9955
Fax: (574) 393-9956
Website:
Map and Directions
Authorized official contact:
Name: Bradley, Shanti BCBA
Phone: (574) 393-9955

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1144818295
LBN Legal business name Great Lakes Behavioral Services
DBA Doing business as
Authorized official Bradley, Shanti BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2021
Last updated Jun 28th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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