Provider Demographics
NPI:1598404154
Name:PUSKAR & WOOD BEYOND MEASURES
Entity Type:Organization
Organization Name:PUSKAR & WOOD BEYOND MEASURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:PUSKAR
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:330-766-9267
Mailing Address - Street 1:9664 FORD AVE UNIT 1398
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-8956
Mailing Address - Country:US
Mailing Address - Phone:330-766-9267
Mailing Address - Fax:
Practice Address - Street 1:88 WILLIAM HALL WAY
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-5933
Practice Address - Country:US
Practice Address - Phone:330-766-9267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty