Provider Demographics
NPI:1366305476
Name:BEHAVIOR EDUCATION SERVICES TEAM LA LLC
Entity type:Organization
Organization Name:BEHAVIOR EDUCATION SERVICES TEAM LA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACTS COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-736-6122
Mailing Address - Street 1:1309 COFFEEN AVE # 1200
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-5777
Mailing Address - Country:US
Mailing Address - Phone:562-736-6122
Mailing Address - Fax:
Practice Address - Street 1:1309 COFFEEN AVE # 1200
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-5777
Practice Address - Country:US
Practice Address - Phone:562-736-6122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-05
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty