Provider Demographics
NPI:1598440612
Name:BEHAVIOR SUPPORT STAFFING
Entity Type:Organization
Organization Name:BEHAVIOR SUPPORT STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:RIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-826-0633
Mailing Address - Street 1:47 WOOD AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-3503
Mailing Address - Country:US
Mailing Address - Phone:401-682-7408
Mailing Address - Fax:401-227-8660
Practice Address - Street 1:10 DORRANCE SREET
Practice Address - Street 2:SUITE 700
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-2014
Practice Address - Country:US
Practice Address - Phone:866-412-5123
Practice Address - Fax:401-227-8660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty