Provider Demographics
NPI:1467609263
Name:BEHAVIORAL EDUCATION ASSESSMENT AND CONSULTATION SERVICES OF CT, INC.
Entity Type:Organization
Organization Name:BEHAVIORAL EDUCATION ASSESSMENT AND CONSULTATION SERVICES OF CT, INC.
Other - Org Name:BEACON SERVICES OF CT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AVP OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:VALERY
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-377-8533
Mailing Address - Street 1:300 EAST MAIN STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2441
Mailing Address - Country:US
Mailing Address - Phone:508-377-8533
Mailing Address - Fax:
Practice Address - Street 1:110 COURT ST STE 3
Practice Address - Street 2:
Practice Address - City:CROMWELL
Practice Address - State:CT
Practice Address - Zip Code:06416-1273
Practice Address - Country:US
Practice Address - Phone:866-935-1866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-22
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251C00000XAgenciesDay Training, Developmentally Disabled Services