| Lifespan Behavioral Services Plc | |
|
2333 Schenley Dr North Chesterfield VA 23235-3317 | |
| (321) 427-2438 | |
| Not Available |
| Full Name | Lifespan Behavioral Services Plc |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 2333 Schenley Dr, North Chesterfield, Virginia |
| Authorized Official Name and Position | Byron Wine (OWNER) |
| Authorized Official Contact | 3214272438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Behavioral Services Plc 2333 Schenley Dr North Chesterfield VA 23235-3317 Ph: (321) 427-2438 | Lifespan Behavioral Services Plc 2333 Schenley Dr North Chesterfield VA 23235-3317 Ph: (321) 427-2438 |
| NPI Number | 1326764283 |
|---|---|
| Provider Enumeration Date | 10/12/2022 |
| Last Update Date | 10/12/2022 |
| Certification Date | 10/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326764283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
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