BEHAVIOR EDUCATION & RESOURCE SPECIALISTS, INC.

Provider Demographics

• NPI: 1649317637
• Name: BEHAVIOR EDUCATION & RESOURCE SPECIALISTS, INC.
• Entity type: Organization
• Organization Name: BEHAVIOR EDUCATION & RESOURCE SPECIALISTS, INC.
• Authorized Official - Title/Position: FINANCE MANAGER
• Authorized Official - First Name: SANDI
• Authorized Official - Last Name: BENNETT
• Authorized Official - Phone: 252-537-6799
• Mailing Address - Street 1: 1609 E 10TH ST
• Mailing Address - City: ROANOKE RAPIDS
• Mailing Address - State: NC
• Mailing Address - Zip Code: 27870-4103
• Mailing Address - Country: US
• Mailing Address - Phone: 252-537-6799
• Mailing Address - Fax: 252-537-6793
• Practice Address - Street 1: 1609 E 10TH ST
• Practice Address - City: ROANOKE RAPIDS
• Practice Address - State: NC
• Practice Address - Zip Code: 27870-4103
• Practice Address - Country: US
• Practice Address - Phone: 252-537-6799
• Practice Address - Fax: 252-537-6793
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2007-01-31
• Last Update Date: 2010-04-29

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	101YM0800X	Behavioral Health & Social Service Providers	Counselor	Mental Health	Group - Multi-Specialty
No	101YP2500X	Behavioral Health & Social Service Providers	Counselor	Professional	Group - Multi-Specialty
No	101YS0200X	Behavioral Health & Social Service Providers	Counselor	School	Group - Multi-Specialty
No	103T00000X	Behavioral Health & Social Service Providers	Psychologist		Group - Multi-Specialty
No	103TB0200X	Behavioral Health & Social Service Providers	Psychologist	Cognitive & Behavioral	Group - Multi-Specialty
No	103TC0700X	Behavioral Health & Social Service Providers	Psychologist	Clinical	Group - Multi-Specialty
No	103TC1900X	Behavioral Health & Social Service Providers	Psychologist	Counseling	Group - Multi-Specialty
No	103TC2200X	Behavioral Health & Social Service Providers	Psychologist	Clinical Child & Adolescent	Group - Multi-Specialty
No	103TM1800X	Behavioral Health & Social Service Providers	Psychologist	Intellectual & Developmental Disabilities	Group - Multi-Specialty
No	1041C0700X	Behavioral Health & Social Service Providers	Social Worker	Clinical	Group - Multi-Specialty
No	1041S0200X	Behavioral Health & Social Service Providers	Social Worker	School	Group - Multi-Specialty
No	106H00000X	Behavioral Health & Social Service Providers	Marriage & Family Therapist		Group - Multi-Specialty
No	261QR1300X	Ambulatory Health Care Facilities	Clinic/Center	Rural Health	Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
NC	1043234305	Other	SOCIAL WORKER CLINICAL
NC	1205847324	Medicaid
NC	1265452270	Other	PSYCHIATRIST
NC	143V9	Other	BCBS
NC	14410	Other	BCBS
NC	198339	Other	MEDCOST
NC	6105177	Medicaid
NC	6106370	Medicaid
NC	0392C	Other	BCBS
NC	1164624995	Medicaid
NC	1245327535	Other	MEDCOST
NC	1476N	Other	BCBS
NC	1043234305	Other	HEALTHCHOICE
NC	1245327535	Other	HEALTHCHOICE
NC	1265540587	Medicaid
NC	144P1	Other	BCBS
NC	1972789550	Medicaid
NC	6000693	Medicaid
NC	0136R	Other	BCBS
NC	1437309002	Medicaid
NC	1519G	Other	HEALTH CHOICE
NC	1972789550	Other	HEALTHCHOICE
NC	198608	Other	MEDCOST
NC	2821267	Other	MEDICARE
NC	6003425	Medicaid
NC	6005462	Medicaid
NC	1164624995	Other	HEALTHCHOICE
NC	1215136494	Other	HEALTHCHOICE
NC	1215136494	Medicaid
NC	1871654285	Other	PSYCHOLOGIST
NC	1265540587	Other	PSYCHOLOGIST
NC	1871654285	Other	HEALTH CHOICE
NC	232093	Other	MEDICARE
NC	2823719	Other	MEDICARE
NC	3400151	Medicaid
NC	6107503	Medicaid
NC	25960	Other	BCBS
NC	56162	Other	MEDCOST
NC	018KK	Other	BCBS
NC	1205847324	Other	MEDICARE
NC	1265540587	Other	HEALTHCHOICE
NC	1437309002	Other	HEALTH CHOICE
NC	1801917679	Medicaid
NC	195785	Other	MEDCOST
NC	2850999A	Other	MEDICARE
NC	6005462	Medicaid
NC	6003425	Medicaid
NC	1164624995	Medicaid