MEDICARE: BEHAVIORAL EDUCATIONAL SERVICES, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	164W00000X	Licensed Practical Nurse
3	225X00000X	Occupational Therapist
4	235Z00000X	Speech-Language Pathologist
5	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1356839526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHAVIORAL EDUCATIONAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	1975 PALM BAY RD NE STE 104
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32905-2972
Country	:	US
Telephone Number	:	321-768-8586
Fax Number	:	321-768-8589

Provider Business Practice Location Address
First Line	:	1975 PALM BAY RD NE STE 104
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32905-2972
Country	:	US
Telephone Number	:	321-768-8586
Fax Number	:	321-768-8589

Authorized Official
Title or Position	:	SR VP CFO
Name	:	STEVE FILTON
Credential	:
Telephone Number	:	610-768-3300

Provider Enumeration Date	:	04/24/2018
Last Update Date	:	04/24/2018

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