| Beyond Aba, Llc | |
|
6222 94th Ave Kenosha WI 53142-8233 | |
| (262) 496-8735 | |
| (262) 997-1121 |
| Full Name | Beyond Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6222 94th Ave, Kenosha, Wisconsin |
| Authorized Official Name and Position | Charleen M Geissman (OWNER) |
| Authorized Official Contact | 2624968735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Aba, Llc 6222 94th Ave Kenosha WI 53142-8233 Ph: (262) 496-8735 | Beyond Aba, Llc 6222 94th Ave Kenosha WI 53142-8233 Ph: (262) 496-8735 |
| NPI Number | 1831589878 |
|---|---|
| Provider Enumeration Date | 01/29/2015 |
| Last Update Date | 06/25/2020 |
| Certification Date | 06/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831589878 | NPI | - | NPPES |
| 1598104861 | Other | WI | INDIVIDUAL NPI |
| 1861829319 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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