Provider Demographics
NPI:1184294647
Name:BEHAVIORAL & EDUCATIONAL STRATEGIES & TRAINING
Entity type:Organization
Organization Name:BEHAVIORAL & EDUCATIONAL STRATEGIES & TRAINING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:GREVEMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-579-9444
Mailing Address - Street 1:2630 W RUMBLE RD
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-0155
Mailing Address - Country:US
Mailing Address - Phone:209-222-2378
Mailing Address - Fax:209-579-9494
Practice Address - Street 1:1135 SMITH LN
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661
Practice Address - Country:US
Practice Address - Phone:209-222-2378
Practice Address - Fax:209-579-9494
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEHAVIORAL & EDUCATIONAL STRATEGIES & TRAINING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-28
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty