Healthcare Provider Details

I. General information

NPI: 1508715731
Provider Name (Legal Business Name): ADVENTURES BEYOND THE JOURNEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2026
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 E LINWOOD BLVD
KANSAS CITY MO
64109-2146
US

IV. Provider business mailing address

PO BOX 140312
KANSAS CITY MO
64114-0312
US

V. Phone/Fax

Practice location:
  • Phone: 816-365-0077
  • Fax:
Mailing address:
  • Phone:
  • 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 Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: BRYAN DIAL JR.
Title or Position: CEO
Credential:
Phone: 816-365-0077