| Seaside Aba Therapy, Llc | |
|
3212 Lorton Ct Virginia Beach VA 23452-7014 | |
| (757) 575-6820 | |
| Not Available |
| Full Name | Seaside Aba Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3212 Lorton Ct, Virginia Beach, Virginia |
| Authorized Official Name and Position | Valerie Siegel Diehl (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 7572350997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seaside Aba Therapy, Llc 3212 Lorton Ct Virginia Beach VA 23452-7014 Ph: (757) 575-6820 | Seaside Aba Therapy, Llc 3212 Lorton Ct Virginia Beach VA 23452-7014 Ph: (757) 575-6820 |
| NPI Number | 1003499732 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 04/30/2021 |
| Certification Date | 04/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003499732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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