Achieve Beyond

LBN: Axiom Link, Inc.
Achieve Beyond is an health care organization with primary practice located at 11240 Waples Mill Rd Suite 101, Fairfax VA 22030-6078. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Rehabilitation is the primary health care specialty. Axiom Link, Inc. can be contacted via phone (703) 237-2219, or through Matuza, Julia Sue via phone (718) 762-7633.

Contact Information

Primary practice address
11240 Waples Mill Rd Suite 101 Fairfax VA 22030-6078
Phone: (703) 237-2219
Fax: (703) 237-2729
Website:
Map and Directions
Authorized official contact:
Name: Matuza, Julia Sue
Phone: (718) 762-7633

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1174852867
LBN Legal business name Axiom Link, Inc.
DBA Doing business as Achieve Beyond
Authorized official Matuza, Julia Sue
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 9th, 2009
Last updated Apr 17th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174852867 NPPES
Other 225720 MEDICARE PTAN

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