Shape Behavioral Services Llc
LBN: Shape Behavioral Services Llc
Shape Behavioral Services Llc is an health care organization with primary practice located at 107 South Indiana Ave , Bloomington IN 47405. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty.
Shape Behavioral Services Llc can be contacted via phone (423) 281-4333, or through Kiss, Alex via phone (423) 281-4333.
Contact Information
Primary practice address
107 South Indiana Ave
Bloomington IN 47405
Phone: (423) 281-4333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1932867322 |
|---|---|
| LBN Legal business name | Shape Behavioral Services Llc |
| DBA Doing business as | |
| Authorized official | Kiss, Alex |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 2nd, 2021 |
| Last updated | Jun 5th, 2023 - about 2 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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