Provider Demographics
NPI:1265647507
Name:BERNIKLAU EDUCATION SOLUTIONS TEAM
Entity Type:Organization
Organization Name:BERNIKLAU EDUCATION SOLUTIONS TEAM
Other - Org Name:BEST
Other - Org Type:Other Name
Authorized Official - Title/Position:PROGRAM DIRECTOR PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS LMHP
Authorized Official - Phone:402-420-2888
Mailing Address - Street 1:6400 EASTSHORE DRIVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516
Mailing Address - Country:US
Mailing Address - Phone:402-420-2888
Mailing Address - Fax:402-420-2942
Practice Address - Street 1:11401 SOUTH 70TH STREET
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516
Practice Address - Country:US
Practice Address - Phone:402-420-2888
Practice Address - Fax:402-420-2942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========27Medicaid