Provider Demographics
NPI:1457639742
Name:BEUG BEHAVIORAL INTERVENTION AND CONSULTING SERVICES
Entity Type:Organization
Organization Name:BEUG BEHAVIORAL INTERVENTION AND CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BEUG
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:775-843-7574
Mailing Address - Street 1:7786 CERRITOS CIR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-5624
Mailing Address - Country:US
Mailing Address - Phone:775-843-7574
Mailing Address - Fax:775-448-6758
Practice Address - Street 1:7786 CERRITOS CIR
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-5624
Practice Address - Country:US
Practice Address - Phone:775-843-7574
Practice Address - Fax:775-448-6758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1-09-6654103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty