OrganizationActive
Beyond the Spectrum Aba Therapy, LLC
NPI 1912720079 · Adolescent and Children Mental Health Clinic/Center · Buford, GA
Provider details
- NPI number
- 1912720079
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ayoola Fadeyi, Ceo(917) 445-2420
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Case Management Agency251B00000X
Agencies
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Developmental Disabilities Clinic/Center261QD1600X
Practice location
4152 Creekview Bluff Ct
Buford, GA 30518-9215
Phone: (917) 445-2420
Approximate (ZIP-level) locationGet directions
Mailing address
4152 Creekview Bluff Ct
Buford, GA 30518-9215
Registry dates
- Enumerated
- 2024-11-06
- Last updated
- 2024-11-06
- Certified
- 2024-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.