Healthcare Provider Details
I. General information
NPI: 1528775566
Provider Name (Legal Business Name): LIMITLESS LEARNING AND BEYOND, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/31/2022
Last Update Date: 10/31/2022
Certification Date: 10/31/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
190 LIME QUARRY RD STE 204
MADISON AL
35758-8976
US
IV. Provider business mailing address
190 LIME QUARRY RD STE 204
MADISON AL
35758-8976
US
V. Phone/Fax
- Phone: 256-476-8793
- Fax:
- Phone: 256-476-8793
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XP0200X |
| Taxonomy | Pediatric Occupational Therapist |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
CYNTHIA
L
REED
Title or Position: OWNER, OPERATIONS MANAGER
Credential: BCBA, LBA
Phone: 256-476-8793