Provider Demographics
NPI:1790938587
Name:BEYOND BOUNDARIES: THERAPY FOR KIDS
Entity Type:Organization
Organization Name:BEYOND BOUNDARIES: THERAPY FOR KIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:RUFFINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-276-1039
Mailing Address - Street 1:6490 TAYLOR RD LOT 17
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-6565
Mailing Address - Country:US
Mailing Address - Phone:716-276-1039
Mailing Address - Fax:
Practice Address - Street 1:6490 TAYLOR RD LOT 17
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-6565
Practice Address - Country:US
Practice Address - Phone:716-276-1039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency