| Balance Behavior Llc | |
|
1621 Bailey Ln Virginia Beach VA 23451-5942 | |
| (757) 955-1052 | |
| (757) 524-4253 |
| Full Name | Balance Behavior Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1621 Bailey Ln, Virginia Beach, Virginia |
| Authorized Official Name and Position | Glowyn Roughton (OWNE4R) |
| Authorized Official Contact | 7579551052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balance Behavior Llc 1621 Bailey Ln Virginia Beach VA 23451-5942 Ph: (757) 955-1052 | Balance Behavior Llc 1621 Bailey Ln Virginia Beach VA 23451-5942 Ph: (757) 955-1052 |
| NPI Number | 1386298446 |
|---|---|
| Provider Enumeration Date | 07/27/2019 |
| Last Update Date | 07/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386298446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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