NPIMap

Beyond the Spectrum ABA Therapy Center, LLC.

Organization Active NPI Behavior Analyst · Buford, GA

NPI 1831911296 · NPPES record last updated Oct 28, 2024

Key facts

NPI
1831911296
Entity type
Organization (NPI type 2)
Primary specialty
Behavior Analyst 103K00000X
Legal business name
BEYOND THE SPECTRUM ABA THERAPY CENTER, LLC.
Practice address
4152 Creekview Bluff CT
Buford, GA 30518-9215
Phone
(917) 445-2420
NPI assigned
Oct 28, 2024
Organization subpart
No

Authorized official

Name
Ms. Ayoola Fadeyi NPI 1154876415
Title
Ceo
Phone
(917) 445-2420

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Beyond the Spectrum ABA Therapy Center LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst
Group: 193200000X MULTI-SPECIALTY GROUP		 103K00000X Yes
Assistant Behavior Analyst
Group: 193200000X MULTI-SPECIALTY GROUP		 106E00000X
Behavior Technician
Group: 193200000X MULTI-SPECIALTY GROUP		 106S00000X
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225X00000X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP		 235Z00000X

Addresses

Primary practice location

4152 Creekview Bluff CT
Buford, GA 30518-9215

Mailing address

4152 Creekview Bluff CT
Buford, GA 30518-9215
Phone (917) 445-2420

Other providers in Buford, GA

All providers in Buford, GA · Behavior Analyst in Georgia

Sources for this page

Verify at the official NPI Registry.