| Discovery Aba Va Llc | |
|
5705 Lynnhaven Pkwy Ste 104 Virginia Beach VA 23464-9157 | |
| (704) 561-1143 | |
| Not Available |
| Full Name | Discovery Aba Va Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5705 Lynnhaven Pkwy Ste 104, Virginia Beach, Virginia |
| Authorized Official Name and Position | Mark Elias (MANAGING MEMBER) |
| Authorized Official Contact | 7045611143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Discovery Aba Va Llc 5705 Lynnhaven Pkwy Ste 104 Virginia Beach VA 23464-9157 Ph: (704) 561-1143 | Discovery Aba Va Llc 5705 Lynnhaven Pkwy Ste 104 Virginia Beach VA 23464-9157 Ph: (704) 561-1143 |
| NPI Number | 1942871249 |
|---|---|
| Provider Enumeration Date | 07/07/2021 |
| Last Update Date | 07/07/2021 |
| Certification Date | 07/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942871249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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