BEHAVIOR EDUCATION AND RESOURCE SPECIALISTS, INC.

Provider Demographics

• NPI: 1962548834
• Name: BEHAVIOR EDUCATION AND RESOURCE SPECIALISTS, INC.
• Entity type: Organization
• Organization Name: BEHAVIOR EDUCATION AND RESOURCE SPECIALISTS, INC.
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: FINANCE MANAGER
• Authorized Official - First Name: SANDI
• Authorized Official - Middle Name: P
• Authorized Official - Last Name: BENNETT
• Authorized Official - Phone: 252-537-6799
• Mailing Address - Street 1: 1609 E 10TH ST
• Mailing Address - City: ROANOKE RAPIDS
• Mailing Address - State: NC
• Mailing Address - Zip Code: 27870-4103
• Mailing Address - Country: US
• Mailing Address - Phone: 252-537-6799
• Mailing Address - Fax: 252-537-6793
• Practice Address - Street 1: 1609 E 10TH ST
• Practice Address - City: ROANOKE RAPIDS
• Practice Address - State: NC
• Practice Address - Zip Code: 27870-4103
• Practice Address - Country: US
• Practice Address - Phone: 252-537-6799
• Practice Address - Fax: 252-537-6793
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2007-01-29
• Last Update Date: 2010-07-26

Provider Licenses

State	License ID	Taxonomies
NC		251S00000X
		101YM0800X, 101Y00000X, 101YP2500X, 106H00000X, 103T00000X, 103TC0700X, 103TC2200X, 103TC1900X, 103TF0000X, 1041C0700X, 103TM1800X, 104100000X, 251B00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	251B00000X	Agencies	Case Management
No	251S00000X	Agencies	Community/Behavioral Health		Group - Multi-Specialty
No	101YM0800X	Behavioral Health & Social Service Providers	Counselor	Mental Health	Group - Multi-Specialty
No	101Y00000X	Behavioral Health & Social Service Providers	Counselor		Group - Multi-Specialty
No	101YP2500X	Behavioral Health & Social Service Providers	Counselor	Professional	Group - Multi-Specialty
No	106H00000X	Behavioral Health & Social Service Providers	Marriage & Family Therapist		Group - Multi-Specialty
No	103T00000X	Behavioral Health & Social Service Providers	Psychologist		Group - Multi-Specialty
No	103TC0700X	Behavioral Health & Social Service Providers	Psychologist	Clinical	Group - Multi-Specialty
No	103TC2200X	Behavioral Health & Social Service Providers	Psychologist	Clinical Child & Adolescent	Group - Multi-Specialty
No	103TC1900X	Behavioral Health & Social Service Providers	Psychologist	Counseling	Group - Multi-Specialty
No	103TF0000X	Behavioral Health & Social Service Providers	Psychologist	Family	Group - Multi-Specialty
No	1041C0700X	Behavioral Health & Social Service Providers	Social Worker	Clinical	Group - Multi-Specialty
No	103TM1800X	Behavioral Health & Social Service Providers	Psychologist	Intellectual & Developmental Disabilities	Group - Multi-Specialty
No	104100000X	Behavioral Health & Social Service Providers	Social Worker		Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
NC	018KK	Other	BCBS
NC	1215136494	Other	HEALTH CHOICE
NC	1265540587	Other	HEALTH CHOICE
NE	143A7	Other	BCBS
NC	1519G	Other	HEALTH CHOICE
NC	152AW	Other	HEALTH CHOICE
NC	1972789550	Medicaid
NC	198608	Other	MEDCOST
NC	6000693	Medicaid
NC	6103605	Medicaid
NC	6105177	Medicaid
NC	6106888	Medicaid
NC	1437309002	Other	HEALTH CHOICE
NC	25960	Other	BCBS
NC	8300824	Medicaid
NC	0136R	Other	BCBS
NC	1164624995	Other	HEALTH CHOICE
NC	1245327535	Other	HEALTH CHOICE
NC	1265540587	Medicaid
NC	152AV	Other	BCBS
NC	1730306937	Medicaid
NC	1801917679	Medicaid
NC	6005462	Medicaid
NC	0392C	Other	BCBS
NC	1043234305	Medicaid
NC	143V9	Other	BCBS
NC	14410	Other	BCBS
NC	1134245749	Medicaid
NC	1245327535	Other	MEDCOST
NC	1476N	Other	BCBS
NC	3400151	Medicaid
NC	6003425	Medicaid
NC	1043234305	Other	HEALTH CHOICE
NC	1205847324	Medicaid
NC	1215136494	Medicaid
NC	152AV	Other	HEALTH CHOICE
NC	1902119464	Medicaid
NC	195785	Other	MEDCOST
NC	1164624995	Medicaid
NC	1437309002	Medicaid
NC	144P1	Other	BCBS
NC	1871654285	Other	HEALTH CHOICE
NC	1962548834	Medicaid
NC	8912147	Medicaid
NC	1134245749	Other	HEALTH CHOICE
NC	1871654285	Medicaid
NC	198339	Other	MEDCOST
NC	56162	Other	MEDCOST
NC	6106370	Medicaid
NC	6107503	Medicaid