Provider Demographics
NPI:1902441017
Name:BEYOND THE LABEL AUTISM SERVICES LLC
Entity Type:Organization
Organization Name:BEYOND THE LABEL AUTISM SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:POE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:317-512-3063
Mailing Address - Street 1:1800 W 900 S
Mailing Address - Street 2:
Mailing Address - City:FLAT ROCK
Mailing Address - State:IN
Mailing Address - Zip Code:47234-9773
Mailing Address - Country:US
Mailing Address - Phone:317-512-3063
Mailing Address - Fax:317-663-2947
Practice Address - Street 1:1800 W 900 S
Practice Address - Street 2:
Practice Address - City:FLAT ROCK
Practice Address - State:IN
Practice Address - Zip Code:47234-9773
Practice Address - Country:US
Practice Address - Phone:317-512-3063
Practice Address - Fax:317-663-2947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center