Beyond the Spectrum ABA Therapy, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

BEYOND THE SPECTRUM ABA THERAPY, LLC

Practice address

4152 Creekview Bluff CT
Buford, GA 30518-9215

Phone

(917) 445-2420

NPI assigned

Nov 6, 2024

Last updated

Nov 6, 2024By 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

Ayoola O. FadeyiNPI 1154876415

Title

Ceo

Phone

(917) 445-2420

Specialties & licenses 8

Addresses

Tax ID family

Beyond the Spectrum ABA Therapy Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Beyond the Spectrum ABA Therapy Center, LLC.

  • Behavior Analyst
  • Buford, GA
  • NPI 1831911296
  NPD tax ID

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.

• Ayoola Fadeyi

  • Rehabilitation Counselor
  • Roswell, GA
  • NPI 1154876415
  NPD Authorized official

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1912720079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 CREEKVIEW BLUFF CT",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305189215",
            "telephone_number": "917-445-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 CREEKVIEW BLUFF CT",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305189215",
            "telephone_number": "917-445-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND THE SPECTRUM ABA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "FADEYI",
        "authorized_official_first_name": "AYOOLA",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-445-2420"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalynn Bentley
• Douglas Bess, M.D.
• Best Option Healthcare LLC
• Beyond the Spectrum ABA Therapy
• Beyond the Spectrum ABA Therapy Center, LLC.
• Nirmala Bharadwaj, M.D.
• Gary H Bible, PHD
• Anggia M Biggans, FNP-C
• Cathie Bigman, OTR/L
• Gabriel Bilello, COTA

• Adolescent and Children Mental Health Clinic/Center in Buford, GA
• Providers in Buford, GA by specialty
• Adolescent and Children Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.