Provider Demographics
NPI:1497240568
Name:BEYOND BEHAVIOR LLC
Entity Type:Organization
Organization Name:BEYOND BEHAVIOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERX
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:P
Authorized Official - Last Name:COUCHENOUR
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:443-651-0308
Mailing Address - Street 1:301 WINSTON RD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-2618
Mailing Address - Country:US
Mailing Address - Phone:443-651-0308
Mailing Address - Fax:
Practice Address - Street 1:301 WINSTON RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-2618
Practice Address - Country:US
Practice Address - Phone:443-651-0308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-29
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLBA0319106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty