Provider Demographics
NPI:1831830561
Name:BEAM THERAPIES
Entity type:Organization
Organization Name:BEAM THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ZINN
Authorized Official - Last Name:TUZ
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, CTLBA
Authorized Official - Phone:203-586-9785
Mailing Address - Street 1:165 FLANDERS RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:CT
Mailing Address - Zip Code:06751-2208
Mailing Address - Country:US
Mailing Address - Phone:203-586-9785
Mailing Address - Fax:
Practice Address - Street 1:165 FLANDERS RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:CT
Practice Address - Zip Code:06751-2208
Practice Address - Country:US
Practice Address - Phone:203-586-9785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health