Healthcare Provider Details

I. General information

NPI: 1871904086
Provider Name (Legal Business Name): ABOVE AND BEYOND:ABA THERAPY FOR AUTISM AND MORE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2014
Last Update Date: 05/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 PINE HILL ESTATES RD
KENOVA WV
25530-7552
US

IV. Provider business mailing address

716 PINE HILL ESTATES RD
KENOVA WV
25530-7552
US

V. Phone/Fax

Practice location:
  • Phone: 304-972-7628
  • Fax:
Mailing address:
  • Phone: 304-972-7628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: REBECCA HUBBARD
Title or Position: OWNER
Credential: ABA
Phone: 304-972-7628