Provider Demographics
NPI:1154669745
Name:BEYOND THE BEHAVIOR
Entity Type:Organization
Organization Name:BEYOND THE BEHAVIOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ZUNIGA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:972-921-5041
Mailing Address - Street 1:19002 DALLAS PKWY
Mailing Address - Street 2:#1021
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-3149
Mailing Address - Country:US
Mailing Address - Phone:972-921-5041
Mailing Address - Fax:469-726-2242
Practice Address - Street 1:19002 DALLAS PKWY
Practice Address - Street 2:#1021
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-3149
Practice Address - Country:US
Practice Address - Phone:972-921-5041
Practice Address - Fax:469-726-2242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-0602942103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty