Provider Demographics
NPI:1255883302
Name:BEHAVIORAL & EDUCATIONAL STRATEGIES & TRAINING
Entity type:Organization
Organization Name:BEHAVIORAL & EDUCATIONAL STRATEGIES & TRAINING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:SALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-579-9444
Mailing Address - Street 1:2825 W RUMBLE RD
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-0185
Mailing Address - Country:US
Mailing Address - Phone:209-579-9444
Mailing Address - Fax:209-579-9494
Practice Address - Street 1:2825 W RUMBLE RD
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-0185
Practice Address - Country:US
Practice Address - Phone:209-579-9444
Practice Address - Fax:209-579-9494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA80000791OtherEIN