| Advanceable Va Aba Llc | |
|
303 Holman St Farmville VA 23901 | |
| (516) 530-9510 | |
| Not Available |
| Full Name | Advanceable Va Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 303 Holman St, Farmville, Virginia |
| Authorized Official Name and Position | Joseph Lieberman (VICE PRESIDENT OF PROCUREMENT) |
| Authorized Official Contact | 6462754510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanceable Va Aba Llc 1007 Broadway Woodmere NY 11598-1246 Ph: (516) 350-9510 | Advanceable Va Aba Llc 303 Holman St Farmville VA 23901 Ph: (516) 530-9510 |
| NPI Number | 1619716206 |
|---|---|
| Provider Enumeration Date | 05/22/2024 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619716206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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