Provider Demographics
NPI:1336647239
Name:BEHAVIOR AND BEYOND LLC
Entity Type:Organization
Organization Name:BEHAVIOR AND BEYOND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEIGEL
Authorized Official - Suffix:
Authorized Official - Credentials:ED D
Authorized Official - Phone:917-588-4668
Mailing Address - Street 1:C/O S BEIGEL
Mailing Address - Street 2:296 JOAN PLACE
Mailing Address - City:WYCKOFF
Mailing Address - State:NJ
Mailing Address - Zip Code:07481-2819
Mailing Address - Country:US
Mailing Address - Phone:201-696-8966
Mailing Address - Fax:
Practice Address - Street 1:540 PRESIDENT ST STE 1E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-1491
Practice Address - Country:US
Practice Address - Phone:917-588-4668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-25
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty