Healthcare Provider Details

I. General information

NPI: 1861329971
Provider Name (Legal Business Name): BEYOND BEHAVIOR CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12355 ARROWLEAF LN
JACKSONVILLE FL
32225-6845
US

IV. Provider business mailing address

12355 ARROWLEAF LN
JACKSONVILLE FL
32225-6845
US

V. Phone/Fax

Practice location:
  • Phone: 904-536-7755
  • Fax:
Mailing address:
  • Phone: 904-536-7755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: ANGELA ERICA STEWART
Title or Position: OWNER
Credential: BCBA
Phone: 904-536-7755