Provider Demographics
NPI:1518286756
Name:BEHAVORIAL SCIENCE INVESTIGATIONS LLC
Entity Type:Organization
Organization Name:BEHAVORIAL SCIENCE INVESTIGATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BANDEMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-742-2181
Mailing Address - Street 1:121 E GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82070-3600
Mailing Address - Country:US
Mailing Address - Phone:307-745-7200
Mailing Address - Fax:
Practice Address - Street 1:121 E GRAND AVE
Practice Address - Street 2:
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82070-3600
Practice Address - Country:US
Practice Address - Phone:307-745-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-27
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY276103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty