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General NPI Number Information
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NPI Number | 1902340896
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Entity Type | Organization
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Legal Business Name | BEHAVIOR AND EDUCATIONAL SERVICES, INC.
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Dates
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Enumeration Date | 12/12/2016
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Last Update Date | 12/12/2016
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Provider Practice Location Address
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Address Line | 126 E 117TH PL
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City | CHICAGO
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State | IL
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Zip | 60628-5625
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Country | US
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Telephone | 773-239-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 2402 WEST 111TH STREET
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City | CHICAGO
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State | IL
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Zip | 60655
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YOLANDA COSEY
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Credential |
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Telephone | 773-239-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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