Provider Demographics
NPI:1689207540
Name:RURAL EDUCATION AND BEHAVIOR SERVICES, LLC
Entity Type:Organization
Organization Name:RURAL EDUCATION AND BEHAVIOR SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:A
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:775-297-6482
Mailing Address - Street 1:2277 SODA LAKE RD
Mailing Address - Street 2:
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89406-6317
Mailing Address - Country:US
Mailing Address - Phone:775-297-6482
Mailing Address - Fax:
Practice Address - Street 1:2277 SODA LAKE RD
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406-6317
Practice Address - Country:US
Practice Address - Phone:775-297-6482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-19
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty