Basic Information
Provider Information
NPI: 1346998077
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BEAMAN
FirstName: APRIL
MiddleName: LADUANA
NamePrefix: MS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: BEHAVIOR FRONTIERS, LLC
Address2: 2155 CHICAGO AVENUE SUITE 203
City: RIVERSIDE
State: CA
PostalCode: 92507
CountryCode: US
TelephoneNumber: 9513576926
FaxNumber: 8555682494
Practice Location
Address1: BEHAVIOR FRONTIERS, LLC
Address2: 2155 CHICAGO AVENUE SUITE 203
City: RIVERSIDE
State: CA
PostalCode: 92507
CountryCode: US
TelephoneNumber: 9513576926
FaxNumber: 8555682494
Other Information
ProviderEnumerationDate: 03/11/2022
LastUpdateDate: 03/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/26/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106S00000X  Y    

No ID Information.


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