Provider Demographics
NPI:1124542626
Name:BEHAVIOR CARE SPECIALISTS, INC
Entity Type:Organization
Organization Name:BEHAVIOR CARE SPECIALISTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANGER
Authorized Official - Prefix:
Authorized Official - First Name:JESSIE
Authorized Official - Middle Name:JO
Authorized Official - Last Name:FEHRMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-271-2690
Mailing Address - Street 1:2804 E 26TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-4019
Mailing Address - Country:US
Mailing Address - Phone:605-271-2690
Mailing Address - Fax:605-271-3956
Practice Address - Street 1:735 3RD ST SW
Practice Address - Street 2:
Practice Address - City:PERHAM
Practice Address - State:MN
Practice Address - Zip Code:56573-1152
Practice Address - Country:US
Practice Address - Phone:218-214-9950
Practice Address - Fax:605-271-3956
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEHAVIOR CARE SPECIALISTS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-27
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty