Provider Demographics
NPI:1598004681
Name:BEHAVIORAL EDUCATIONAL STRATEGIES AND TRAINING
Entity Type:Organization
Organization Name:BEHAVIORAL EDUCATIONAL STRATEGIES AND TRAINING
Other - Org Name:B.E.S.T
Other - Org Type:Other Name
Authorized Official - Title/Position:SENIOR CLINICAL SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:NICE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:209-988-3415
Mailing Address - Street 1:5716 PIRRONE RD
Mailing Address - Street 2:
Mailing Address - City:SALIDA
Mailing Address - State:CA
Mailing Address - Zip Code:95368-9313
Mailing Address - Country:US
Mailing Address - Phone:209-579-9444
Mailing Address - Fax:209-579-9494
Practice Address - Street 1:5716 PIRRONE RD
Practice Address - Street 2:
Practice Address - City:SALIDA
Practice Address - State:CA
Practice Address - Zip Code:95368-9313
Practice Address - Country:US
Practice Address - Phone:209-579-9444
Practice Address - Fax:209-579-9494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-08
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency