Organization Active NPI

Quality Behavioral Services, Inc.

  • Behavior Analyst
  • Huntertown, IN
National Provider Identifier
1669764189
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
QUALITY BEHAVIORAL SERVICES, INC.
Practice address
205 W Shoaff Rd
Huntertown, IN 46748-9757
Phone
(260) 409-4165
NPI assigned
May 3, 2011
Last updated
May 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Mr. Bruce Wilder
Title
Behavior Analyst
Phone
(260) 409-4165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

205 W Shoaff Rd
Huntertown, IN 46748-9757

Mailing address

205 W Shoaff Rd
Huntertown, IN 46748-9757
Phone (260) 409-4165

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1669764189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W SHOAFF RD",
            "city": "HUNTERTOWN",
            "state": "IN",
            "postal_code": "467489757",
            "telephone_number": "260-409-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W SHOAFF RD",
            "city": "HUNTERTOWN",
            "state": "IN",
            "postal_code": "467489757",
            "telephone_number": "260-409-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY BEHAVIORAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "260-409-4165",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntertown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.