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NPI Code Detail

MEDICARE: BEHAVIOR CARE SPECIALISTS, INC

MEDICARE: BEHAVIOR CARE SPECIALISTS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician
3103K00000XBehavior Analyst

General Provider Information

NPI Number : 1881195394
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIOR CARE SPECIALISTS, INC
Provider Business Mailing Address
First Line : 2804 E 26TH ST STE 1
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57103-4019
Country : US
Telephone Number : 605-271-2690
Fax Number : 605-271-3956
Provider Business Practice Location Address
First Line : 1101 W RUSSELL ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-1322
Country : US
Telephone Number : 605-906-8800
Fax Number : 605-271-3956
Authorized Official
Title or Position : BILLING MANAGER
Name : JESSIE FEHRMAN
Credential :
Telephone Number : 605-906-8806
Provider Enumeration Date : 02/21/2018
Last Update Date : 10/08/2020

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Directions to “BEHAVIOR CARE SPECIALISTS, INC ” Practice Location

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