Healthcare Provider Details

I. General information

NPI: 1275440810
Provider Name (Legal Business Name): BEYOND THE LABEL ADVOCACY AND SPEECH THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3415 S SEPULVEDA BLVD STE 1100
LOS ANGELES CA
90034-7090
US

IV. Provider business mailing address

3415 S SEPULVEDA BLVD STE 1100
LOS ANGELES CA
90034-7090
US

V. Phone/Fax

Practice location:
  • Phone: 424-242-8562
  • Fax:
Mailing address:
  • Phone: 424-242-8562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JADA AUGUSTINE
Title or Position: CEO
Credential: SLP
Phone: 562-376-1827