Active NPIOrganization

2ND Chance Through Behavior Supports

Home Health in Blackwood, New Jersey

NPI Number1346058914
Practice location
921 Grenville Dr, Blackwood, NJ 08012-1343
Fax
—
Last updated
December 27, 2024

2ND Chance Through Behavior Supports is a healthcare organization based in Blackwood, NJ. 2ND Chance Through Behavior Supports practices in Blackwood, NJ. The NPI Number for 2ND Chance Through Behavior Supports is 1346058914. The current practice location address for 2ND Chance Through Behavior Supports is 921 Grenville Dr, Blackwood, NJ 08012-1343 and can be reached out via phone at 856-831-6646.

Provider Profile Details

NPI Number
1346058914
Provider Name
2ND Chance Through Behavior Supports
Provider Entity Type
Organization
Address
921 Grenville Dr, Blackwood, NJ 08012-1343
Phone Number
856-831-6646
Primary Taxonomy
Home Health · 251E00000X
Organization Subpart
No
Authorized Official
Dyshea Upshaw, BCBA · Owner · 856-831-6646
Other Names
2ND Chance Through Behavior Supports (Former Legal Business Name)
Provider Enumeration Date
December 27, 2024
Last Update Date
December 27, 2024
Certification Date
December 27, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
921 Grenville Dr
Blackwood, NJ 08012-1343
Zip
08012-1343
Phone Number
856-831-6646
Blackwood, NJ 08012Get directions →

Provider Business Mailing Address Details

Address
921 Grenville Dr
Blackwood, NJ 08012-1343
City
Blackwood
State
NJ
Zip
08012-1343
Phone Number
856-831-6646

License Information

Taxonomy
Home Health · 251E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of 2ND Chance Through Behavior Supports?

The NPI number of 2ND Chance Through Behavior Supports is 1346058914. It was assigned on December 27, 2024 and is currently active in the NPPES registry.

What is the specialty of 2ND Chance Through Behavior Supports?

2ND Chance Through Behavior Supports is registered under the primary taxonomy Home Health (code 251E00000X).

Where does 2ND Chance Through Behavior Supports practice?

The practice location is 921 Grenville Dr, Blackwood, NJ 08012-1343. The office can be reached at 856-831-6646 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346058914 directly on the NPPES registry website.

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