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TRY LOVE BEHAVIORAL CENTER LLC NPI 1306550413


NPI Information

NPI: 1306550413
Provider Name: TRY LOVE BEHAVIORAL CENTER, LLC

Former Legal Business Name: TY LOVE BEHAVIORAL CENTER, LLC

Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
535 MAINE ST STE 13
QUINCY, IL
ZIP 62301
Phone: (217) 577-2176
Get Directions

TRY LOVE BEHAVIORAL CENTER, LLC is a behavior analyst in Quincy, IL. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. TRY LOVE BEHAVIORAL CENTER, LLC NPI is 1306550413. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Ty Love Behavioral Center, Llc.

The provider's business location address is:

535 MAINE ST STE 13
QUINCY, IL
ZIP 62301-950
Phone: (217) 577-2176
Fax: (888) 216-1181

The provider's authorized official is Marissa Jo Lumpkin .
The authorized official title is Executive Director and has the following contact phone number (217) 577-2176.

The enumeration date for this NPI number is 1/12/2023 and was last updated on 12/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106E00000XAssistant Behavior AnalystNo
2106S00000XBehavior TechnicianNo
32080P0006XPediatricsDevelopmental - Behavioral PediatricsNo
4103K00000XBehavior AnalystYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1RBT-21-187891OTHERBEHAVIOR ANALYST CERTIFICATION BOARD
21-23-69856OTHERBEHAVIOR ANALYST CERTIFICATION BOARD
3BACB577742OTHERBEHAVIOR ANALYST CERTIFICATION BOARD
41-19-35663OTHERBEHAVIOR ANALYST CERTIFICATION BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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