Provider Demographics
NPI:1871363358
Name:BEYOND BARRIERS, INC.
Entity type:Organization
Organization Name:BEYOND BARRIERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKAGAWA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:209-747-7517
Mailing Address - Street 1:1040 W KETTLEMAN LN # 180
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:CA
Mailing Address - Zip Code:95240-6070
Mailing Address - Country:US
Mailing Address - Phone:209-747-7517
Mailing Address - Fax:
Practice Address - Street 1:1040 W KETTLEMAN LN # 180
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95240-6070
Practice Address - Country:US
Practice Address - Phone:209-747-7517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty