Organization
BEYOND BEHAVIOR
Active
Organization
BEYOND BEHAVIOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN DAVIS (OWNER)
(310) 766-5971
Entity
Organization
Contact information
Practice address
1722 CORONADO AVE, E, LONG BEACH, CA 90804-1850
(310) 766-5971
Mailing address
1722 CORONADO AVE, LONG BEACH, CA 90804-1850
(310) 766-5971
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10-10-7000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922342534
NPI
CA
Enumeration date
11/13/2014
Last updated
01/04/2015
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