Provider Demographics
NPI:1386447811
Name:BEST LIFE THERAPY LLC
Entity type:Organization
Organization Name:BEST LIFE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:THOMAS SCUDDER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:228-697-7117
Mailing Address - Street 1:1 MARKS RD
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-4351
Mailing Address - Country:US
Mailing Address - Phone:228-697-7117
Mailing Address - Fax:
Practice Address - Street 1:1 MARKS RD
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-4351
Practice Address - Country:US
Practice Address - Phone:228-697-7117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEST LIFE THERAPY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities