Organization
BEYOND THE SPECTRUM ABA THERAPY CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AYOOLA FADEYI (CEO)
(917) 445-2420
Entity
Organization
Contact information
Practice address
4152 CREEKVIEW BLUFF CT, BUFORD, GA 30518-9215
(917) 445-2420
Mailing address
4152 CREEKVIEW BLUFF CT, BUFORD, GA 30518-9215
(917) 445-2420
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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