Provider Demographics
NPI:1932440617
Name:BEHAVIORAL EDUCATION ASSESSMENT CONSULTATION SERVICES
Entity Type:Organization
Organization Name:BEHAVIORAL EDUCATION ASSESSMENT CONSULTATION SERVICES
Other - Org Name:BEACON SERVICES OF CONNECTICUT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AVP OF REV CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:VALERY
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-377-8533
Mailing Address - Street 1:300 E MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2806
Mailing Address - Country:US
Mailing Address - Phone:508-377-8533
Mailing Address - Fax:860-613-9952
Practice Address - Street 1:110 COURT ST STE 3
Practice Address - Street 2:
Practice Address - City:CROMWELL
Practice Address - State:CT
Practice Address - Zip Code:06416-1273
Practice Address - Country:US
Practice Address - Phone:860-613-9930
Practice Address - Fax:860-613-9952
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEHAVIORAL EDUCATION ASSESSMENT CONSULTATION SERVICES OF CONNECTICUT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-06
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health