Provider Demographics
NPI:1437513991
Name:WILLIAM J. WHITE EDUCATION AND BEHAVIORAL CONSULTING SERVICES, INC.
Entity Type:Organization
Organization Name:WILLIAM J. WHITE EDUCATION AND BEHAVIORAL CONSULTING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-968-7452
Mailing Address - Street 1:PO BOX 1150
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:NH
Mailing Address - Zip Code:03217-1150
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23 WEST ST
Practice Address - Street 2:#3
Practice Address - City:ASHLAND
Practice Address - State:NH
Practice Address - Zip Code:03217-4219
Practice Address - Country:US
Practice Address - Phone:603-968-7452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-11
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty