Provider Demographics
NPI:1588842389
Name:ABILITY BEYOND DISABILLITY
Entity Type:Organization
Organization Name:ABILITY BEYOND DISABILLITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, C.F.A.O.
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:I
Authorized Official - Last Name:PASQUALINI
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:203-826-3017
Mailing Address - Street 1:4 BERKSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:CT
Mailing Address - Zip Code:06801-1001
Mailing Address - Country:US
Mailing Address - Phone:203-775-4700
Mailing Address - Fax:
Practice Address - Street 1:5 SQUIRE CT
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-3727
Practice Address - Country:US
Practice Address - Phone:203-775-4700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01233792Medicaid