MEDICARE: BEHAVIOR AND EDUCATION 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
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1588213219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHAVIOR AND EDUCATION INC

Provider Business Mailing Address
First Line	:	PO BOX 1000
Second Line	:
City	:	HERMOSA BEACH
State	:	CA
Zip	:	90254-1000
Country	:	US
Telephone Number	:	310-406-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	6671 LAS VEGAS BLVD S STE 210
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-3273
Country	:	US
Telephone Number	:	310-406-1500
Fax Number	:

Authorized Official
Title or Position	:	FINANCE MANAGER
Name	:	ROSA RODRIGUEZ
Credential	:
Telephone Number	:	310-406-1500

Provider Enumeration Date	:	09/05/2019
Last Update Date	:	10/15/2020

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