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Organization

BEYOND EXPECTATIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN REID (EXEC. DIRECTOR)
(251) 605-1017
Entity
Organization

Contact information

Practice address
21 LONGWOOD DR, SHALIMAR, FL 32579-1013
(251) 605-1017
Mailing address
21 LONGWOOD DR, SHALIMAR, FL 32579-1013
(251) 605-1017

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
FL
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/01/2009
Last updated
04/01/2009
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