Organization
ACHIEVE BEYOND LICENSED BEHAVIOR ANALYST SERVICES PC
Active
Other names
Achieve Beyond
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON BUTERA (DIRECTOR OF OPERATIONS)
(631) 385-7780
Entity
Organization
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4822
(631) 385-7780
(631) 385-7795
Mailing address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4822
(631) 385-7780
(631) 385-7795
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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