Provider Demographics
NPI:1073744991
Name:ABILITY BEYOND DISABILITY
Entity Type:Organization
Organization Name:ABILITY BEYOND DISABILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP & CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:PASQUELINI
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:203-775-4700
Mailing Address - Street 1:4 BERKSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:CT
Mailing Address - Zip Code:06801-1001
Mailing Address - Country:US
Mailing Address - Phone:203-775-4700
Mailing Address - Fax:203-731-2766
Practice Address - Street 1:4 BERKSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:CT
Practice Address - Zip Code:06801-1001
Practice Address - Country:US
Practice Address - Phone:203-775-4700
Practice Address - Fax:203-731-2766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003918320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities