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Organization
BEHAVIOR EDUCATION AND RESOURCE SPECIALIST, INC.
Active
Organization
BEHAVIOR EDUCATION AND RESOURCE SPECIALIST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDI BENNETT (FINANCE MANAGER)
(252) 537-6799
Entity
Organization
Contact information
Practice address
1609 E 10TH ST, ROANOKE RAPIDS, NC 27870-4103
(252) 537-6799
(252) 537-6793
Mailing address
1609 E 10TH ST, ROANOKE RAPIDS, NC 27870-4103
(252) 537-6799
(252) 537-6793
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0136R
BCBS
NC
01
—
018KK
BCBS
NC
01
—
0392C
BCBS
NC
05
—
1164529640
—
NC
01
—
12147
BCBS
NC
05
—
1215136494
—
NC
01
—
1245327535
MEDCOST
NC
01
—
1265452270
HEALTHCHOICE
NC
05
—
1265518823
—
NC
01
—
135V6
BCBS
NC
01
—
143V9
BCBS
NC
01
—
14410
BCBS
NC
05
—
1447314073
—
NC
01
—
144P1
BCBS
NC
01
—
1476N
BCBS
NC
01
—
1508850983
PHYSICIAN ASSISTANT
NC
01
—
1649386632
HEALTHCHOICE
NC
01
—
194769
MEDCOST
NC
01
—
195785
MEDCOST
NC
05
—
1972789550
—
NC
01
—
1982697595
PHYSICIAN
NC
01
—
198339
MEDCOST
NC
01
—
198608
MEDCOST
NC
01
—
232093
MEDICARE
NC
01
—
25960
BCBS
NC
01
—
2821267
MEDICARE
NC
01
—
2823719
MEDICARE
NC
01
—
2850999A
MEDICARE
NC
01
—
56162
MEDCOST
NC
05
—
5902141
—
NC
05
—
6000693
—
NC
05
—
6103605
—
NC
05
—
6105177
—
NC
05
—
6106370
—
NC
05
—
6106888
—
NC
05
—
6107268
—
NC
05
—
6107503
—
NC
05
—
890136R
—
NC
05
—
890257L
—
NC
05
—
89135V6
—
NC
05
—
8921983
—
NC
Enumeration date
01/31/2007
Last updated
04/12/2010
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