Provider Demographics
NPI:1295474708
Name:BEE-YOU-TIFUL ABA, LLC
Entity type:Organization
Organization Name:BEE-YOU-TIFUL ABA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/BCBA
Authorized Official - Prefix:MRS
Authorized Official - First Name:LANEISHA
Authorized Official - Middle Name:JANAI
Authorized Official - Last Name:EMERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA, LABA
Authorized Official - Phone:508-233-3542
Mailing Address - Street 1:45 PACHICO CIR
Mailing Address - Street 2:
Mailing Address - City:VINEYARD HAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02568-4031
Mailing Address - Country:US
Mailing Address - Phone:508-233-3542
Mailing Address - Fax:
Practice Address - Street 1:45 PACHICO CIR
Practice Address - Street 2:
Practice Address - City:VINEYARD HAVEN
Practice Address - State:MA
Practice Address - Zip Code:02568-4031
Practice Address - Country:US
Practice Address - Phone:508-233-3542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty