Provider Demographics
NPI:1780392662
Name:BEYOND BEHAVIOR ABA AND LEARNING CENTER PLLC
Entity type:Organization
Organization Name:BEYOND BEHAVIOR ABA AND LEARNING CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:859-314-4158
Mailing Address - Street 1:PO BOX 3
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40476-0003
Mailing Address - Country:US
Mailing Address - Phone:859-314-4158
Mailing Address - Fax:
Practice Address - Street 1:292 S 2ND ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2102
Practice Address - Country:US
Practice Address - Phone:859-353-5505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-09
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty