| Missing Piece Aba Llc | |
|
306 Hillcrest Ave Colonial Heights VA 23834-1432 | |
| (804) 475-0714 | |
| Not Available |
| Full Name | Missing Piece Aba Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 306 Hillcrest Ave, Colonial Heights, Virginia |
| Authorized Official Name and Position | Krystal Everhart (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 8044750714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missing Piece Aba Llc 306 Hillcrest Ave Colonial Heights VA 23834-1432 Ph: (804) 475-0714 | Missing Piece Aba Llc 306 Hillcrest Ave Colonial Heights VA 23834-1432 Ph: (804) 475-0714 |
| NPI Number | 1427810159 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427810159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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