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Organization

BEYOND EXPECTATIONS

Active
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Organization

BEYOND EXPECTATIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TY'BREECE TUCKER (DIRECTOR/OWNER)
(661) 544-6213
Entity
Organization

Contact information

Practice address
190 SIERRA COURT SUITE B-215, PALMDALE, CA 93550
(661) 544-6213
Mailing address
190 SIERRA COURT SUITE B-215, PALMDALE, CA 93550
(661) 544-6213

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
02/02/2023
Last updated
09/06/2023
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