Provider Demographics
NPI:1336698273
Name:BEYOND BEHAVIOR CALIFORNIA
Entity Type:Organization
Organization Name:BEYOND BEHAVIOR CALIFORNIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DALPOGETTI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:209-606-8556
Mailing Address - Street 1:101 N BRAND BLVD FL 11
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-2638
Mailing Address - Country:US
Mailing Address - Phone:209-606-8556
Mailing Address - Fax:
Practice Address - Street 1:101 N BRAND BLVD FL 11
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-2638
Practice Address - Country:US
Practice Address - Phone:209-606-8556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-1621482103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty