Provider Demographics
NPI:1497492748
Name:EDUCATIONAL AND BEHAVIORAL CONSULTING, LLC
Entity type:Organization
Organization Name:EDUCATIONAL AND BEHAVIORAL CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER/CFO
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-256-6046
Mailing Address - Street 1:86 CROSS RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTERFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03466-3209
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:86 CROSS RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTERFIELD
Practice Address - State:NH
Practice Address - Zip Code:03466-3209
Practice Address - Country:US
Practice Address - Phone:603-545-2671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-18
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty