Provider Demographics
NPI:1700539178
Name:BEYOND WORDS BEHAVIORAL, LLC
Entity Type:Organization
Organization Name:BEYOND WORDS BEHAVIORAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERNA
Authorized Official - Middle Name:GALE
Authorized Official - Last Name:POE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:405-361-8837
Mailing Address - Street 1:1805 ROCKY MOUNTAIN WAY
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003
Mailing Address - Country:US
Mailing Address - Phone:405-361-8837
Mailing Address - Fax:
Practice Address - Street 1:1805 ROCKY MOUNTAIN WAY
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003
Practice Address - Country:US
Practice Address - Phone:405-361-8837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty