Organization
BEYOND ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLEEN M GEISSMAN MS (OWNER)
(262) 496-8735
Entity
Organization
Contact information
Practice address
6222 94TH AVE, KENOSHA, WI 53142-8233
(262) 496-8735
(262) 997-1121
Mailing address
6222 94TH AVE, KENOSHA, WI 53142-8233
(262) 496-8735
(262) 997-1121
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598104861
INDIVIDUAL NPI
WI
01
—
1861829319
INDIVIDUAL NPI
—
Enumeration date
01/29/2015
Last updated
06/25/2020
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