1508221839 NPI number — BOARD OF REGENTS OF THE NEVADA SYSTEM OF HIGHER EDUCATION

Table of content: (NPI 1508221839)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508221839 NPI number — BOARD OF REGENTS OF THE NEVADA SYSTEM OF HIGHER EDUCATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BOARD OF REGENTS OF THE NEVADA SYSTEM OF HIGHER EDUCATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DBA; BEHAVIORAL EDUCATION AND CONSULTATING SERVICES (BECS);
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508221839
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/25/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1664 N VIRGINIA ST
Provider Second Line Business Mailing Address:
MS 0296
Provider Business Mailing Address City Name:
RENO
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89557-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-391-0749
Provider Business Mailing Address Fax Number:
775-432-0324

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
401 W 2ND ST
Provider Second Line Business Practice Location Address:
#100
Provider Business Practice Location Address City Name:
RENO
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89503-5345
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-391-0749
Provider Business Practice Location Address Fax Number:
775-432-0324
Provider Enumeration Date:
12/31/2015

Additional Information

Authorized Official

Authorized Official Last Name:
CERVANTES
Authorized Official First Name:
CLAUDIA
Authorized Official Middle Name:
J
Authorized Official Title or Position:
ADMINISTRATIVE ASSISTANT II
Authorized Official Telephone Number:
775-682-8686

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X , with the licence number:  LBA0024 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103K00000X , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251C00000X , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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