Provider Demographics
NPI:1548935240
Name:BEST PRACTICES BEHAVIOR AND SUPPORT, LLC
Entity type:Organization
Organization Name:BEST PRACTICES BEHAVIOR AND SUPPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERA
Authorized Official - Middle Name:
Authorized Official - Last Name:WENNER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:815-904-6293
Mailing Address - Street 1:3708 REGAL RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61114-6037
Mailing Address - Country:US
Mailing Address - Phone:815-904-6293
Mailing Address - Fax:
Practice Address - Street 1:3708 REGAL RIDGE CIR
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61114-6037
Practice Address - Country:US
Practice Address - Phone:815-904-6293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty