| Progressive Aba, Inc. | |
|
12727 Mcmanus Blvd Ste G Newport News VA 23602-4459 | |
| (757) 877-2300 | |
| (757) 264-6258 |
| Full Name | Progressive Aba, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12727 Mcmanus Blvd Ste G, Newport News, Virginia |
| Authorized Official Name and Position | Kathryn Elizabeth Raulerson-kellas (FOUNDER) |
| Authorized Official Contact | 7578694162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Aba, Inc. 12727 Mcmanus Blvd Ste G Newport News VA 23602-4459 Ph: (757) 877-2300 | Progressive Aba, Inc. 12727 Mcmanus Blvd Ste G Newport News VA 23602-4459 Ph: (757) 877-2300 |
| NPI Number | 1962834853 |
|---|---|
| Provider Enumeration Date | 08/02/2013 |
| Last Update Date | 04/21/2021 |
| Certification Date | 04/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962834853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 0134000030 (Virginia) | Primary |
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