| Dom Aba Services Llc | |
|
611 Station Square Ct Chesapeake VA 23320-0705 | |
| (757) 752-6225 | |
| Not Available |
| Full Name | Dom Aba Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 611 Station Square Ct, Chesapeake, Virginia |
| Authorized Official Name and Position | Aleksandra Fentress (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7578952673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dom Aba Services Llc 611 Station Square Ct Chesapeake VA 23320-0705 Ph: (757) 895-2673 | Dom Aba Services Llc 611 Station Square Ct Chesapeake VA 23320-0705 Ph: (757) 752-6225 |
| NPI Number | 1912587585 |
|---|---|
| Provider Enumeration Date | 04/08/2021 |
| Last Update Date | 08/24/2021 |
| Certification Date | 08/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912587585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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