- Practice location
- 4 Apple Tree Ln, Saco, ME 04072-8830
- Phone
- 207-632-5106
- Fax
- —
- Last updated
- May 13, 2024
Wide Behavior Services LLC is a healthcare organization based in Saco, ME. Wide Behavior Services LLC practices in Saco, ME. The NPI Number for Wide Behavior Services LLC is 1760231864. The current practice location address for Wide Behavior Services LLC is 4 Apple Tree Ln, Saco, ME 04072-8830 and can be reached out via phone at 207-632-5106.
Provider Profile Details
- NPI Number
- 1760231864
- Provider Name
- Wide Behavior Services LLC
- Provider Entity Type
- Organization
- Address
- 4 Apple Tree Ln, Saco, ME 04072-8830
- Phone Number
- 207-632-5106
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Mr. Joseph Shumbusho · Ceo · 207-632-5106
- Other Names
- Wide Behavior Services LLC (Doing Business As)
- Provider Enumeration Date
- May 13, 2024
- Last Update Date
- May 13, 2024
- Certification Date
- May 13, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4 Apple Tree Ln
Saco, ME 04072-8830 - City
- Saco
- State
- Maine
- Zip
- 04072-8830
- Phone Number
- 207-632-5106
Provider Business Mailing Address Details
- Address
- 4 Apple Tree Ln
Saco, ME 04072-8830 - City
- Saco
- State
- ME
- Zip
- 04072-8830
License Information
- Taxonomy (1)
- Psychologist, Rehabilitation · 103TR0400X
- Taxonomy (2)
- Clinic/Center · 261Q00000X
- Taxonomy (3)
- Clinic/Center, Ambulatory Family Planning Facility · 261QA0005X
- Taxonomy (4)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Wide Behavior Services LLC?
The NPI number of Wide Behavior Services LLC is 1760231864. It was assigned on May 13, 2024 and is currently active in the NPPES registry.
What is the specialty of Wide Behavior Services LLC?
Wide Behavior Services LLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Wide Behavior Services LLC practice?
The practice location is 4 Apple Tree Ln, Saco, ME 04072-8830. The office can be reached at 207-632-5106 (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 1760231864 directly on the NPPES registry website.