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General NPI Number Information
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NPI Number | 1114278686
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Entity Type | Organization
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Legal Business Name | BEYOND EXPECTATIONS INC.
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Dates
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Enumeration Date | 09/25/2012
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Last Update Date | 06/25/2024
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Provider Practice Location Address
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Address Line | 74 3RD ST SHALIMAR
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City | FORT WALTON BEACH
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State | FL
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Zip | 32579
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Country | US
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Telephone | 850-362-6824
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 259
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City | SHALIMAR
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State | FL
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Zip | 32579-0259
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAREN REID
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Credential |
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Telephone | 850-362-6824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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