Organization · NPI-2

Beyond The Spectrum Aba Therapy Center, LLC.

Behavior Analyst · Buford, GA

NPI number1831911296

StatusActive

Last updated in NPPESOct 28, 2024

Details

NPI: 1831911296
Entity type: Organization (NPI-2)
Legal business name: Beyond The Spectrum Aba Therapy Center, LLC.
Organization subpart: No
Enumeration date: Oct 28, 2024
Certification date: Oct 28, 2024
Last updated: Oct 28, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103K00000X	Behavior Analyst	–	–	Yes
106E00000X	Assistant Behavior Analyst	–	–
106S00000X	Behavior Technician	–	–
225X00000X	Occupational Therapist	–	–
235Z00000X	Speech-Language Pathologist,	–	–

Practice location

4152 Creekview Bluff Ct
Buford, GA 30518-9215

Phone 917-445-2420

Mailing address

4152 Creekview Bluff Ct
Buford, GA 30518-9215

Phone 917-445-2420

Authorized official

Ayoola Fadeyi
Ceo
9174452420

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