NPIMap

Organization Active NPI

Behavior Education and Resource Specialist, Inc.

  • Case Management Agency
  • Roanoke Rapids, NC
National Provider Identifier
1730306937
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
BEHAVIOR EDUCATION AND RESOURCE SPECIALIST, INC.
Practice address
1609 E 10TH St
Roanoke Rapids, NC 27870-4103
Phone
(252) 537-6799
Fax
(252) 537-6793
NPI assigned
Apr 19, 2007
Last updated
Feb 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sandi Bennett
Title
Finance
Phone
(252) 537-8802

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Psychologist 103T00000X NU
Cognitive & Behavioral Psychologist 103TB0200X NU

Addresses

Primary practice location

1609 E 10TH St
Roanoke Rapids, NC 27870-4103

Mailing address

1609 E 10TH St
Roanoke Rapids, NC 27870-4103
Phone (252) 537-6799

Other identifiers 3

IdentifierTypeStateIssuer
8300824GMedicaidNC
018KKOtherNCBCBS
018KKOtherNCHEALTH CHOICE

National Provider Directory

National Provider Directory
Tax ID family
Behavior Education and Resource Specialist Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1730306937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 E 10TH ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704103",
            "telephone_number": "252-537-6799",
            "fax_number": "252-537-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 E 10TH ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704103",
            "telephone_number": "252-537-6799",
            "fax_number": "252-537-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR EDUCATION AND RESOURCE SPECIALIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "FINANCE",
        "authorized_official_telephone_number": "252-537-8802"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300824G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "018KK",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CHOICE",
            "identifier": "018KK",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.