MEDICARE: BEYOND AUTISM THERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1356121594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEYOND AUTISM THERAPY INC

Provider Business Mailing Address
First Line	:	11235 DUNSTAN HILL DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-1846
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11235 DUNSTAN HILL DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-1846
Country	:	US
Telephone Number	:	713-874-4782
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	EKPE OKORAFOR
Credential	:
Telephone Number	:	713-874-4782

Provider Enumeration Date	:	10/04/2023
Last Update Date	:	05/26/2026

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