Provider Demographics
NPI: | 1710639315 |
---|---|
Name: | EDUCATION AND BEHAVIORAL CONSULTING SERVICES LLC |
Entity Type: | Organization |
Organization Name: | EDUCATION AND BEHAVIORAL CONSULTING SERVICES LLC |
Other - Org Name: | EDBECS |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ANTHONY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | OWENS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 539-240-4735 |
Mailing Address - Street 1: | 8252 S HARVARD AVE STE 151 |
Mailing Address - Street 2: | |
Mailing Address - City: | TULSA |
Mailing Address - State: | OK |
Mailing Address - Zip Code: | 74137-1646 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 8252 S HARVARD AVE STE 151 |
Practice Address - Street 2: | |
Practice Address - City: | TULSA |
Practice Address - State: | OK |
Practice Address - Zip Code: | 74137-1646 |
Practice Address - Country: | US |
Practice Address - Phone: | 539-240-4735 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2022-01-25 |
Last Update Date: | 2022-10-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Single Specialty |