Provider Demographics
NPI:1841644762
Name:BECC, LLC
Entity type:Organization
Organization Name:BECC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:BERANBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-262-0841
Mailing Address - Street 1:439 BENEFIT ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-2934
Mailing Address - Country:US
Mailing Address - Phone:401-262-0841
Mailing Address - Fax:401-489-7620
Practice Address - Street 1:439 BENEFIT ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-2934
Practice Address - Country:US
Practice Address - Phone:401-262-0841
Practice Address - Fax:401-489-7620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-17
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW018861041C0700X
RICSW016751041C0700X
RILDN00665133N00000X
103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty