Provider Demographics
NPI:1558908079
Name:BEHAVIOR RESOURCE CENTER
Entity Type:Organization
Organization Name:BEHAVIOR RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:KARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-896-6319
Mailing Address - Street 1:1610 GOAT CREEK RD
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-4843
Mailing Address - Country:US
Mailing Address - Phone:830-896-6319
Mailing Address - Fax:830-896-0117
Practice Address - Street 1:1610 GOAT CREEK RD
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-4843
Practice Address - Country:US
Practice Address - Phone:830-896-6319
Practice Address - Fax:830-896-0117
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:H.C. SIGNS OF HOPE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty