Provider Demographics
NPI:1619450558
Name:ABOVE & BEYOND CONSULTING LLC
Entity type:Organization
Organization Name:ABOVE & BEYOND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:ELISHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HEIMBECKER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:616-308-8408
Mailing Address - Street 1:828 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-1444
Mailing Address - Country:US
Mailing Address - Phone:616-308-8408
Mailing Address - Fax:
Practice Address - Street 1:828 E 7TH ST
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55805-1444
Practice Address - Country:US
Practice Address - Phone:616-308-8408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1538554712Medicaid