Provider Demographics
NPI:1871904086
Name:ABOVE AND BEYOND:ABA THERAPY FOR AUTISM AND MORE
Entity type:Organization
Organization Name:ABOVE AND BEYOND:ABA THERAPY FOR AUTISM AND MORE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:ABA
Authorized Official - Phone:304-972-7628
Mailing Address - Street 1:716 PINE HILL ESTATES RD
Mailing Address - Street 2:
Mailing Address - City:KENOVA
Mailing Address - State:WV
Mailing Address - Zip Code:25530-7552
Mailing Address - Country:US
Mailing Address - Phone:304-972-7628
Mailing Address - Fax:
Practice Address - Street 1:716 PINE HILL ESTATES RD
Practice Address - Street 2:
Practice Address - City:KENOVA
Practice Address - State:WV
Practice Address - Zip Code:25530-7552
Practice Address - Country:US
Practice Address - Phone:304-972-7628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-12
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty