| Licensed Behavior Analysis | |
|
2280 Brownshire Trail Virginia Beach VA 23456 | |
| (757) 447-0883 | |
| Not Available |
| Full Name | Licensed Behavior Analysis |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2280 Brownshire Trail, Virginia Beach, Virginia |
| Authorized Official Name and Position | Chris A. Jordan (PRESIDENT) |
| Authorized Official Contact | 7574470883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Licensed Behavior Analysis 2280 Brownshire Trl Virginia Beach VA 23456-5286 Ph: (757) 777-5560 | Licensed Behavior Analysis 2280 Brownshire Trail Virginia Beach VA 23456 Ph: (757) 447-0883 |
| NPI Number | 1427705094 |
|---|---|
| Provider Enumeration Date | 03/03/2022 |
| Last Update Date | 05/18/2022 |
| Certification Date | 05/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427705094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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