Provider Demographics
NPI:1285425470
Name:BEABA GA LLC
Entity type:Organization
Organization Name:BEABA GA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAIM
Authorized Official - Middle Name:P
Authorized Official - Last Name:LUBINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-889-6006
Mailing Address - Street 1:1226 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4719
Mailing Address - Country:US
Mailing Address - Phone:718-889-6006
Mailing Address - Fax:
Practice Address - Street 1:823 BROAD ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-1214
Practice Address - Country:US
Practice Address - Phone:718-889-6006
Practice Address - Fax:347-238-3517
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEABA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty