Healthcare Provider Details

I. General information

NPI: 1750158390
Provider Name (Legal Business Name): BEYOND INFINITY ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2023
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8544 N CANTON CENTER RD
CANTON MI
48187-1310
US

IV. Provider business mailing address

259 PINEHURST DR
CANTON MI
48188-3077
US

V. Phone/Fax

Practice location:
  • Phone: 734-865-8671
  • Fax:
Mailing address:
  • Phone: 734-865-8671
  • 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 Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: KASHIFA NAEEM
Title or Position: OWNER
Credential:
Phone: 734-865-8671