Provider Demographics
NPI:1831824374
Name:BEYOND THE CLASSROOM LLC
Entity type:Organization
Organization Name:BEYOND THE CLASSROOM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:J
Authorized Official - Last Name:FERDERER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:701-851-0201
Mailing Address - Street 1:241 SE 2ND ST
Mailing Address - Street 2:
Mailing Address - City:LINTON
Mailing Address - State:ND
Mailing Address - Zip Code:58552-7604
Mailing Address - Country:US
Mailing Address - Phone:701-851-0201
Mailing Address - Fax:
Practice Address - Street 1:203 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:LINTON
Practice Address - State:ND
Practice Address - Zip Code:58552-5855
Practice Address - Country:US
Practice Address - Phone:701-851-0201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty