Provider Demographics
NPI:1710207162
Name:TULARE COUNTY OFFICE OF EDUCATION
Entity Type:Organization
Organization Name:TULARE COUNTY OFFICE OF EDUCATION
Other - Org Name:TCOE BRIGHT FUTURE TBS
Other - Org Type:Other Name
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:C
Authorized Official - Last Name:PEKAREK
Authorized Official - Suffix:
Authorized Official - Credentials:MA, PPS, BCBA
Authorized Official - Phone:559-747-3984
Mailing Address - Street 1:2637 W BURREL AVE
Mailing Address - Street 2:PO BOX 5091
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-4511
Mailing Address - Country:US
Mailing Address - Phone:559-747-3984
Mailing Address - Fax:559-747-3642
Practice Address - Street 1:11535 AVENUE 264
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277
Practice Address - Country:US
Practice Address - Phone:559-747-3984
Practice Address - Fax:559-747-3642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-08
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty