Provider Demographics
NPI:1053848796
Name:BIG BROTHER SECURITY PROGRAMS, INC.
Entity Type:Organization
Organization Name:BIG BROTHER SECURITY PROGRAMS, INC.
Other - Org Name:BIG BROTHER SECURITY PROGRAMS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:D
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-242-4440
Mailing Address - Street 1:874 N WILLISTON RD
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-8839
Mailing Address - Country:US
Mailing Address - Phone:802-242-4440
Mailing Address - Fax:802-242-4438
Practice Address - Street 1:49 COMMERCE AVE
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-5852
Practice Address - Country:US
Practice Address - Phone:802-242-4441
Practice Address - Fax:802-727-4612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle