Provider Demographics
NPI:1730314386
Name:B E T A: BEHAVIOR EDUCATION TRAINING ASSOCIATES
Entity Type:Organization
Organization Name:B E T A: BEHAVIOR EDUCATION TRAINING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MARONE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:415-564-7830
Mailing Address - Street 1:PO BOX 225129
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-5129
Mailing Address - Country:US
Mailing Address - Phone:415-564-7830
Mailing Address - Fax:415-242-1302
Practice Address - Street 1:1426 46TH AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-2903
Practice Address - Country:US
Practice Address - Phone:415-564-7830
Practice Address - Fax:415-242-1302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAP19147251C00000X
CAMFC14792251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services