TB Children's Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

BH002497 Issued in PA

Legal business name

TB CHILDREN'S SERVICES LLC

Practice address

409 Chelsea Rd
Fairless Hills, PA 19030-2305

Phone

(267) 679-5968

NPI assigned

Mar 6, 2017

Last updated

Mar 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline M Breault-Straffe, M.A LBS

Title

Behavior Specialist

Phone

(267) 679-5968

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Breault, M.A L.B.S

  • Behavior Analyst
  • Fairless Hills, PA
  • NPI 1164819538
  NPD (past)

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1386184745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 CHELSEA RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302305",
            "telephone_number": "267-679-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 CHELSEA RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302305",
            "telephone_number": "267-679-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TB CHILDREN'S SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "BREAULT-STRAFFE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BEHAVIOR SPECIALIST",
        "authorized_official_telephone_number": "267-679-5968",
        "authorized_official_credential": "M.A LBS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "BH002497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Stednick
• Vitaliy Stepchin, FNP
• Sunrise PA Labs LLC
• Richard Bruce Taddonio, MD
• E. Ralph Taylor III, D.C.
• The Giant Company, LLC (Giant Pharmacy #6094)
• Jaron Michael Theis, DMD
• Edward P Thievon, DMD
• Frederick D Thompson, LPC
• Thrift Drug Inc (Rite Aid Pharmacy 11106)

• Community/Behavioral Health Agency in Fairless Hills, PA
• Providers in Fairless Hills, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.