| Pennington Group Full Spectrum Services | |
|
561 Sterling Rd Virginia Beach VA 23464-2025 | |
| (757) 472-1930 | |
| Not Available |
| Full Name | Pennington Group Full Spectrum Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 561 Sterling Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Suzanna Myers (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 7574721930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennington Group Full Spectrum Services 561 Sterling Rd Virginia Beach VA 23464-2025 Ph: () - | Pennington Group Full Spectrum Services 561 Sterling Rd Virginia Beach VA 23464-2025 Ph: (757) 472-1930 |
| NPI Number | 1235504671 |
|---|---|
| Provider Enumeration Date | 12/10/2015 |
| Last Update Date | 12/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235504671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 0133000512 (Virginia) | Primary |
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