| Bright Paths Behavioral Therapy | |
|
11747 Jefferson Ave Ste 3h Newport News VA 23606-4403 | |
| (631) 901-3711 | |
| Not Available |
| Full Name | Bright Paths Behavioral Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11747 Jefferson Ave Ste 3h, Newport News, Virginia |
| Authorized Official Name and Position | Melissa Mock (BCBA) |
| Authorized Official Contact | 6319013711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Paths Behavioral Therapy 100 Ambush St Apt 310 Yorktown VA 23693-5679 Ph: () - | Bright Paths Behavioral Therapy 11747 Jefferson Ave Ste 3h Newport News VA 23606-4403 Ph: (631) 901-3711 |
| NPI Number | 1528793189 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 12/15/2023 |
| Certification Date | 12/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528793189 | NPI | - | NPPES |
| 1841842564 | Other | VA | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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