Beyond Autism Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BEYOND AUTISM SERVICES LLC

Practice address

77 W Baltimore Pike Ste 100B
Media, PA 19063-5639

Phone

(610) 572-5520

Fax

(610) 572-5521

NPI assigned

Mar 12, 2021

Last updated

Aug 12, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacqueline GodwinNPI 1417212390

Title

Clinical Director

Phone

(484) 431-4677

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Godwin, M.S., BCBA

  • Behavior Analyst
  • Media, PA
  • NPI 1417212390
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1275118077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W BALTIMORE PIKE STE 100B",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635639",
            "telephone_number": "610-572-5520",
            "fax_number": "610-572-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W BALTIMORE PIKE STE 100B",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635639",
            "telephone_number": "610-572-5520",
            "fax_number": "610-572-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND AUTISM SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "484-431-4677"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lynn Bernardi, LCSW
• Jonathan Berridge, LAT ATC OTC
• Aaron S Best, DO
• Marcela Andrea Betancourt, MD
• Betty Lou - Bettner, PH.D. LPC
• Beyond Related Services LLC
• Andressa Bezerra
• David Bialek, PHARMD
• Kalee Biglin, DPT
• Marguerite Regina Billbrough, MD

• Behavior Analyst in Media, PA
• Providers in Media, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.