| Go Forward Aba Va Llc | |
|
8401 Mayland Dr Ste A Richmond VA 23294-4648 | |
| (571) 371-9433 | |
| Not Available |
| Full Name | Go Forward Aba Va Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8401 Mayland Dr Ste A, Richmond, Virginia |
| Authorized Official Name and Position | Yehoshua Nussbaum (CEO) |
| Authorized Official Contact | 5713719433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Go Forward Aba Va Llc 8401 Mayland Dr Ste A Richmond VA 23294-4648 Ph: (571) 371-9433 | Go Forward Aba Va Llc 8401 Mayland Dr Ste A Richmond VA 23294-4648 Ph: (571) 371-9433 |
| NPI Number | 1912715764 |
|---|---|
| Provider Enumeration Date | 12/26/2024 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912715764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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