Provider Demographics
NPI:1639623440
Name:ABOVE AND BEYOND BEHAVIOR HEALTH SERVICES
Entity Type:Organization
Organization Name:ABOVE AND BEYOND BEHAVIOR HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:RESCHELLE
Authorized Official - Last Name:BRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-592-0503
Mailing Address - Street 1:2126 ROCKROSE CIR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-1525
Mailing Address - Country:US
Mailing Address - Phone:602-592-0503
Mailing Address - Fax:
Practice Address - Street 1:2126 ROCKROSE CIR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-1525
Practice Address - Country:US
Practice Address - Phone:602-592-0503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-09
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health