Provider Demographics
NPI:1215206818
Name:ABOVE AND BEYOND TRAINING ACADEMY
Entity Type:Organization
Organization Name:ABOVE AND BEYOND TRAINING ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LANELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:216-374-8040
Mailing Address - Street 1:4556 WARRENSVILLE CENTER RD
Mailing Address - Street 2:
Mailing Address - City:NORTH RANDALL
Mailing Address - State:OH
Mailing Address - Zip Code:44128-4134
Mailing Address - Country:US
Mailing Address - Phone:216-374-8040
Mailing Address - Fax:216-587-2258
Practice Address - Street 1:4556 WARRENSVILLE CENTER RD
Practice Address - Street 2:
Practice Address - City:NORTH RANDALL
Practice Address - State:OH
Practice Address - Zip Code:44128-4134
Practice Address - Country:US
Practice Address - Phone:216-374-8040
Practice Address - Fax:216-587-2258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No385H00000XRespite Care FacilityRespite Care