Driven Behavioral Support Llc | |
10468 Investors Pl Ste B Spotsylvania VA 22553-1749 | |
(540) 479-7823 | |
(540) 301-8315 |
Full Name | Driven Behavioral Support Llc |
---|---|
Speciality | Behavior Analyst |
Location | 10468 Investors Pl Ste B, Spotsylvania, Virginia |
Authorized Official Name and Position | Juan Manuel Mondillo (OWNER) |
Authorized Official Contact | 5404797823 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Driven Behavioral Support Llc 10468 Investors Pl Ste B Spotsylvania VA 22553-1749 Ph: (540) 479-7823 | Driven Behavioral Support Llc 10468 Investors Pl Ste B Spotsylvania VA 22553-1749 Ph: (540) 479-7823 |
NPI Number | 1831732486 |
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Provider Enumeration Date | 10/25/2019 |
Last Update Date | 07/28/2020 |
Certification Date | 07/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831732486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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