Provider Demographics
NPI:1871470799
Name:BEHAVIORAL ENRICHMENT CENTER
Entity type:Organization
Organization Name:BEHAVIORAL ENRICHMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA LEAD CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:LILLIAN
Authorized Official - Last Name:CROCKETT
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LABA
Authorized Official - Phone:508-932-0566
Mailing Address - Street 1:822 OAK ST
Mailing Address - Street 2:
Mailing Address - City:N DIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02764-1406
Mailing Address - Country:US
Mailing Address - Phone:508-932-0566
Mailing Address - Fax:
Practice Address - Street 1:98 NICKS ROCK RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4172
Practice Address - Country:US
Practice Address - Phone:508-932-0566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty