Organization
TRIAD BEHAVIOR SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER BETTS (CEO)
(412) 429-1908
Entity
Organization
Contact information
Practice address
150 E MAIN ST STE 207, CARNEGIE, PA 15106-2437
(412) 429-1908
(412) 429-0800
Mailing address
150 E MAIN ST STE 207, CARNEGIE, PA 15106-2437
(412) 429-1908
(412) 429-0800
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102866311
—
PA
Enumeration date
06/13/2017
Last updated
07/21/2022
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