Triad Behavior Support Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

TRIAD BEHAVIOR SUPPORT SERVICES LLC

Practice address

150 E Main St Ste 207
Carnegie, PA 15106-2437

Phone

(412) 429-1908

Fax

(412) 429-0800

NPI assigned

Jun 13, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heather Betts

Title

Ceo

Phone

(412) 429-1908

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Triad Behavior Support Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Triad Behavior Support Services LLC

  • Community/Behavioral Health Agency
  • Carnegie, PA
  • NPI 1972925881
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jillian Nicole Dunn

  • Behavior Analyst
  • Carnegie, PA
  • NPI 1629582986
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063942167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E MAIN ST STE 207",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151062437",
            "telephone_number": "412-429-1908",
            "fax_number": "412-429-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E MAIN ST STE 207",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151062437",
            "telephone_number": "412-429-1908",
            "fax_number": "412-429-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD BEHAVIOR SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BETTS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-429-1908"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102866311",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Carnegie, PA
• Providers in Carnegie, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.