Total Behavior Support

LBN: Total Behavior Support Llc
Total Behavior Support is an health care organization with primary practice located at 1015 S Broadway Ste 16 , Minot ND 58701-4667. 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. Total Behavior Support Llc can be contacted via phone (707) 450-7587, or through Kornelis, Andrea Niccole via phone (707) 450-7587.

Contact Information

Primary practice address
1015 S Broadway Ste 16 Minot ND 58701-4667
Phone: (707) 450-7587
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kornelis, Andrea Niccole LBA
Phone: (707) 450-7587

Health care specialties

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

Profile Details

NPI number 1518541713
LBN Legal business name Total Behavior Support Llc
DBA Doing business as Total Behavior Support
Authorized official Kornelis, Andrea Niccole LBA
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2021
Last updated Jul 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518541713 NPPES
North Dakota Other L78 BEHAVIOR ANALYST LICENSE

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