SUPERIOR BEHAVIORAL SERVICES - NPI 1508574351

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Superior Behavioral Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPERIOR BEHAVIORAL SERVICES (NPI 1508574351) is a healthcare organization registered as a mental health in Superior, Wisconsin and active in the NPI registry since November 2022. The organization lists Elisha Zavodnik, Owner, as its authorized official.

NPPES Registry Identity

NPI1508574351

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameSUPERIOR BEHAVIORAL SERVICES

Location Address5300 STINSON AVESuperior, WI 54880-6313

Mailing Address5300 Stinson AveSuperior, WI 54880-6313 · (218) 216-7798

Phone(218) 216-7798

Organization SubpartNo

Authorized OfficialElisha ZavodnikOwner · (218) 216-7798

Enumeration DateNovember 10, 2022

Last NPPES UpdateMay 17, 20232 updates tracked since enumeration

NPPES CertifiedMay 17, 2023

✔ NPI 1508574351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

5300 STINSON AVE, Superior, WI 54880

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELISHA ZAVODNIK

Behavior Analyst