Organization
BEHAVIORAL EDUCATION SERVICES AND TRAINING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL GEORGE CONKLIN BCBA-D (DIRECTOR)
(785) 727-9270
Entity
Organization
Contact information
Practice address
6224 CLOUD DANCE DR, LAS CRUCES, NM 88012-9017
(785) 727-9270
Mailing address
6224 CLOUD DANCE DR, LAS CRUCES, NM 88012-9017
(575) 805-5705
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88012 0000
TRIWEST
NM
Enumeration date
08/17/2011
Last updated
06/03/2012
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