| Indigo | |
|
1432 N Great Neck Rd Ste 103 Virginia Beach VA 23454-1342 | |
| (757) 481-0163 | |
| (757) 222-1727 |
| Full Name | Indigo |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1432 N Great Neck Rd Ste 103, Virginia Beach, Virginia |
| Authorized Official Name and Position | Millicent Alspaugh (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7573347443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indigo 1432 N Great Neck Rd Ste 103 Virginia Beach VA 23454-1342 Ph: () - | Indigo 1432 N Great Neck Rd Ste 103 Virginia Beach VA 23454-1342 Ph: (757) 481-0163 |
| NPI Number | 1932965126 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932965126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
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