Organization
BEHAVIOR EDUCATION AND RESOURCE SPECIALIST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDI BENNETT (FINANCE)
(252) 537-8802
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
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018KK
HEALTH CHOICE
NC
05
—
8300824G
—
NC
Enumeration date
04/19/2007
Last updated
02/25/2010
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