OrganizationCommunity Behavior AnalyticsBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address8 The Grn Ste 10869, Dover, DE 19901-3618(302) 307-1663PECOS EnrollmentBased on the most recent information from CMS, provider Community Behavior Analytics does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1699391136Provider TypeOrganizationFull NameCommunity Behavior AnalyticsSubpartNoEnumeration Date6/21/2020Last Updated1/8/2023Contact InformationPractice LocationPractice Address8 The Grn Ste 10869, Dover, DE 19901-3618Phone(302) 307-1663FaxUnlisted FaxMailing LocationMailing Address5862 N 6th St, Philadelphia, PA 19120-1303PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameAzzaam, Shariffah (Owner)Phone(302) 307-1663Provider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode106E00000XDescriptionAssistant Behavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode251S00000XDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerCode252Y00000XDescriptionEarly Intervention Provider AgencyAgenciesLicenseUnlisted IssuerCode3104A0630XDescriptionAssisted Living FacilityNursing & Custodial Care FacilitiesLicenseUnlisted Issuer