Provider Demographics
NPI:1306434949
Name:A BEAUTIFUL MIND BEHAVIOR SERVICES L.L.C
Entity type:Organization
Organization Name:A BEAUTIFUL MIND BEHAVIOR SERVICES L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARA
Authorized Official - Middle Name:C
Authorized Official - Last Name:DULINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-715-6744
Mailing Address - Street 1:3343 FAIRBANKS ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-4145
Mailing Address - Country:US
Mailing Address - Phone:907-715-6744
Mailing Address - Fax:
Practice Address - Street 1:3343 FAIRBANKS ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-4145
Practice Address - Country:US
Practice Address - Phone:907-715-6744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty