Provider Demographics
NPI:1679163646
Name:CULTIVATE EDUCATION CORPORATION
Entity Type:Organization
Organization Name:CULTIVATE EDUCATION CORPORATION
Other - Org Name:CULTIVATE BEHAVIORAL HEALTH AND EDUCATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JONATHON
Authorized Official - Middle Name:
Authorized Official - Last Name:CURLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-772-4042
Mailing Address - Street 1:12600 HILL COUNTRY BLVD STE R-100
Mailing Address - Street 2:
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-6748
Mailing Address - Country:US
Mailing Address - Phone:512-772-4042
Mailing Address - Fax:
Practice Address - Street 1:1930 FREQUENT FLYER PT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80915-1500
Practice Address - Country:US
Practice Address - Phone:800-345-0448
Practice Address - Fax:913-800-8196
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CULTIVATE BEHAVIORAL MANAGEMENT CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-22
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty