Provider Demographics
NPI:1588945257
Name:BEHAVIORAL EDUCATIONAL ASSESSMENT SERVICES INC
Entity type:Organization
Organization Name:BEHAVIORAL EDUCATIONAL ASSESSMENT SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-844-7064
Mailing Address - Street 1:6213 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-0735
Mailing Address - Country:US
Mailing Address - Phone:916-844-7064
Mailing Address - Fax:
Practice Address - Street 1:6213 MADISON AVE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0735
Practice Address - Country:US
Practice Address - Phone:916-844-7064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-07
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherKAISER PERMANENTE