| Branchaud Behavioral Therapy | |
|
5776 Greenwood Rd Suffolk VA 23437-9252 | |
| (757) 630-6155 | |
| Not Available |
| Full Name | Branchaud Behavioral Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5776 Greenwood Rd, Suffolk, Virginia |
| Authorized Official Name and Position | Lisa Harcum Branchaud (OWNER) |
| Authorized Official Contact | 7576306155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branchaud Behavioral Therapy 5776 Greenwood Rd Suffolk VA 23437-9252 Ph: (757) 630-6155 | Branchaud Behavioral Therapy 5776 Greenwood Rd Suffolk VA 23437-9252 Ph: (757) 630-6155 |
| NPI Number | 1386132363 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 04/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386132363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 0133000561 (Virginia) | Primary |
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