Provider Demographics
NPI:1154931947
Name:BEYOND THE RAINBOW LLC
Entity type:Organization
Organization Name:BEYOND THE RAINBOW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:PSY M, BCBA
Authorized Official - Phone:864-918-9386
Mailing Address - Street 1:804 CANTON CT
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-5392
Mailing Address - Country:US
Mailing Address - Phone:864-918-9386
Mailing Address - Fax:
Practice Address - Street 1:804 CANTON CT
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-5392
Practice Address - Country:US
Practice Address - Phone:864-918-9386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty