Organization
BEHAVIOR EDUCATION AND RESOURCE SPECIALIST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDI BENNETT (FINANCE)
(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
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018KK
BCBS
NC
01
—
0392C
BCBS
NC
05
—
1265540587
—
NC
01
—
144P1
BCBS
NC
05
—
1871654285
—
NC
01
—
198339
MEDCOST
NC
01
—
198608
MEDCOST
NC
01
—
56162
MEDCOST
NC
05
—
6000693
—
NC
05
—
6107268
—
NC
05
—
8300824B
—
NC
05
—
8300824G
—
NC
Enumeration date
03/22/2007
Last updated
02/25/2010
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