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Contact Information

BEHAVIORAL ADVANCEMENTS OF DUBOIS
105 WEST DUBOIS AVENUE
JUNIATA PLACE SUITE B
DUBOIS, PA15801
 Phone: 814-375-7090
 Fax: 814-375-7940
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BEHAVIORAL ADVANCEMENTS OF DUBOIS

NPI Number 1497928154
LBN Legal business name BEHAVIORAL ADVANCEMENTS OF DUBOIS
Authorized official SEAN GARRED - (LICENSED PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/02/2008
Last updated 04/02/2008 - About 18 years ago
Identifiers
PA License # PS007054L
PA Medicaid 0017312240003
PA Other VC0634 COMMUNITY CARE BEHAVIORAL
PA Other 489548 HIGHMARK BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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