Provider Demographics
NPI:1891231635
Name:BEHAVIOR & BEYOND, LLC
Entity Type:Organization
Organization Name:BEHAVIOR & BEYOND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER (SINGLE MEMBER)
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:FLEECE
Authorized Official - Last Name:RENTSCHLER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:626-372-3924
Mailing Address - Street 1:3114 NE HANCOCK ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97212-5119
Mailing Address - Country:US
Mailing Address - Phone:626-372-3924
Mailing Address - Fax:971-925-4873
Practice Address - Street 1:3114 NE HANCOCK ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97212-5119
Practice Address - Country:US
Practice Address - Phone:626-372-3924
Practice Address - Fax:971-925-4873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-18
Last Update Date:2017-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORABA-B-10166919103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty