Provider Demographics
NPI:1578270740
Name:BEAT IT PROGRAM INC
Entity Type:Organization
Organization Name:BEAT IT PROGRAM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATION OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HESENFLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-828-3939
Mailing Address - Street 1:20079 STONE OAK PKWY STE 1105-158
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-6942
Mailing Address - Country:US
Mailing Address - Phone:800-282-3939
Mailing Address - Fax:210-481-9228
Practice Address - Street 1:920 SARATOGA AVE STE 207
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-3408
Practice Address - Country:US
Practice Address - Phone:800-828-3939
Practice Address - Fax:210-481-9228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management