| Ivyrehab Aba, Llc | |
|
7025 Harbour View Blvd Ste A Suffolk VA 23435-2761 | |
| (757) 974-8262 | |
| Not Available |
| Full Name | Ivyrehab Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7025 Harbour View Blvd Ste A, Suffolk, Virginia |
| Authorized Official Name and Position | Ashley Griffiths (DIRECTOR OF PAYER RELATIONS) |
| Authorized Official Contact | 9142944050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivyrehab Aba, Llc 1311 Mamaroneck Ave Ste 140 White Plains NY 10605-5224 Ph: (914) 294-4050 | Ivyrehab Aba, Llc 7025 Harbour View Blvd Ste A Suffolk VA 23435-2761 Ph: (757) 974-8262 |
| NPI Number | 1982301842 |
|---|---|
| Provider Enumeration Date | 02/10/2023 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982301842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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