Organization
BEYOND ACHIEVING SKILLS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA ANNE CAOUETTE OTR/L (SOLE MEMEBER/MANAGER)
(207) 615-2379
Entity
Organization
Contact information
Practice address
24 ANDERSON RD., RAYMOND, ME 04071
(207) 615-2379
(207) 655-6105
Mailing address
24 ANDERSON RD., RAYMOND, ME 04071
(207) 615-2379
(207) 655-6105
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OT575
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184941163
—
ME
Enumeration date
01/15/2014
Last updated
05/13/2015
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