Provider Demographics
NPI:1831780261
Name:BEHAVIOR EDUCATION CONSULTATION AND TRAINING SERVICES LLC
Entity type:Organization
Organization Name:BEHAVIOR EDUCATION CONSULTATION AND TRAINING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SEKERIA
Authorized Official - Middle Name:VOLECE
Authorized Official - Last Name:BOSSIE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC-S, LBSW
Authorized Official - Phone:256-452-8504
Mailing Address - Street 1:PO BOX 680162
Mailing Address - Street 2:
Mailing Address - City:PRATTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36068-0162
Mailing Address - Country:US
Mailing Address - Phone:256-452-8504
Mailing Address - Fax:334-380-9797
Practice Address - Street 1:696 SILVER HILLS DR STE 108&110
Practice Address - Street 2:
Practice Address - City:PRATTVILLE
Practice Address - State:AL
Practice Address - Zip Code:36066-6184
Practice Address - Country:US
Practice Address - Phone:334-380-9799
Practice Address - Fax:334-380-9797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)