Healthcare Provider Details

I. General information

NPI: 1649199837
Provider Name (Legal Business Name): BEABA TN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

179 W MAIN ST UNIT 121
CAMDEN TN
38320-1621
US

IV. Provider business mailing address

1226 E 10TH ST
BROOKLYN NY
11230-4719
US

V. Phone/Fax

Practice location:
  • Phone: 718-889-6006
  • Fax: 347-238-3517
Mailing address:
  • Phone: 917-504-6645
  • Fax: 347-238-3517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MR. CHAIM P LUBINSKY
Title or Position: CEO
Credential:
Phone: 917-504-6645