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NPI Code Detail

MEDICARE: ACHIEVE BEYOND INC

MEDICARE: ACHIEVE BEYOND INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2235Z00000XSpeech-Language Pathologist
3103K00000XBehavior Analyst

General Provider Information

NPI Number : 1124330634
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACHIEVE BEYOND INC
Provider Business Mailing Address
First Line : 225 BROADHOLLOW RD STE 402
Second Line :
City : MELVILLE
State : NY
Zip : 11747-4899
Country : US
Telephone Number : 631-385-7780
Fax Number : 718-886-8694
Provider Business Practice Location Address
First Line : 424 CENTRAL AVE STE 2
Second Line :
City : WESTFIELD
State : NJ
Zip : 07090-2561
Country : US
Telephone Number : 732-204-1635
Fax Number :
Authorized Official
Title or Position : CEO
Name : MRS. JULIA S. MATUZA
Credential : MA, BCBA, LBA
Telephone Number : 718-762-7633
Provider Enumeration Date : 07/13/2010
Last Update Date : 06/30/2022

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Directions to “ACHIEVE BEYOND INC ” Practice Location

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