OrganizationActive
Beyond Therapy, LLC
NPI 1316796329 · Speech-Language Pathologist · Grayson, GA
Provider details
- NPI number
- 1316796329
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Teddy Fayne, Owner(615) 491-6547
Specialties & taxonomies
Speech, Language and Hearing Service Providers
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
- Assistant Behavior Analyst106E00000X
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
157 Cypress Cove Ct
Grayson, GA 30017-4199
Phone: (615) 491-6547
Approximate (ZIP-level) locationGet directions
Mailing address
157 Cypress Cove Ct
Grayson, GA 30017-4199
Registry dates
- Enumerated
- 2024-05-14
- Last updated
- 2024-05-14
- Certified
- 2024-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.