| Amaze Virginia Llc | |
|
4410 Claiborne Sq E Ste 334 Hampton VA 23666-2074 | |
| (470) 203-9984 | |
| Not Available |
| Full Name | Amaze Virginia Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4410 Claiborne Sq E Ste 334, Hampton, Virginia |
| Authorized Official Name and Position | Joseph Schwartz (DIRECTOR) |
| Authorized Official Contact | 4702039984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amaze Virginia Llc 1096 E 29th St Brooklyn NY 11210-3744 Ph: (516) 655-7855 | Amaze Virginia Llc 4410 Claiborne Sq E Ste 334 Hampton VA 23666-2074 Ph: (470) 203-9984 |
| NPI Number | 1336921063 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336921063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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