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Organization

BEYOND THE SPECTRUM ABA THERAPY

Active
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Organization

BEYOND THE SPECTRUM ABA THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AYOOLA FADEYI (CEO)
(917) 445-2420
Entity
Organization

Contact information

Practice address
4152 CREEKVIEW BLUFF COURT, BUFORD, GA 30518
(917) 445-2420
Mailing address
4152 CREEKVIEW BLUFF CT, BUFORD, GA 30518-9215
(917) 445-2420

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
373H00000X
Day Training/Habilitation Specialist
—
—

Other

Enumeration date
11/19/2024
Last updated
02/17/2026
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