Organization · NPI-2

Beyond Expectations INC.

Behavior Analyst · Crestview, FL

NPI number1619644069
StatusActive
Last updated in NPPESMay 29, 2024

Details

NPI
1619644069
Entity type
Organization (NPI-2)
Legal business name
Beyond Expectations INC.
Organization subpart
No
Enumeration date
Aug 24, 2021
Certification date
May 29, 2024
Last updated
May 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
251S00000X Community/Behavioral Health––
261QM1300X Clinic/Center, Multi-Specialty––

Practice location

4100 S Ferdon Blvd Ste B3
Crestview, FL 32536-5287

Phone 850-362-6824

Mailing address

4100 S Ferdon Blvd Ste B3
Crestview, FL 32536-5287

Authorized official

Jocelyn Thomas
Credentialer/Biller
2012410079

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