Provider Demographics
NPI:1366276602
Name:ABOVE AND BEYOND ABA SERVICES LLC
Entity type:Organization
Organization Name:ABOVE AND BEYOND ABA SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:MR
Authorized Official - First Name:JARON
Authorized Official - Middle Name:GRANT
Authorized Official - Last Name:INATOME
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:239-784-5886
Mailing Address - Street 1:1729 SW 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-3412
Mailing Address - Country:US
Mailing Address - Phone:239-784-5886
Mailing Address - Fax:
Practice Address - Street 1:1729 SW 3RD AVE
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-3412
Practice Address - Country:US
Practice Address - Phone:239-784-5886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty