Organization
BECC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL BERANBAUM (MANAGER)
(401) 262-0841
Entity
Organization
Contact information
Practice address
439 BENEFIT ST, PROVIDENCE, RI 02903-2934
(401) 262-0841
(401) 489-7620
Mailing address
439 BENEFIT ST, PROVIDENCE, RI 02903-2934
(401) 262-0841
(401) 489-7620
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
CSW01675
RI
1041C0700X
Clinical Social Worker
ISW01886
RI
133N00000X
Nutritionist
LDN00665
RI
Other
Enumeration date
04/17/2016
Last updated
04/01/2019
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