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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