| Shenandoah Valley Aba, Llc | |
|
1260 Lakeview Dr Cross Junction VA 22625-2523 | |
| (757) 553-0798 | |
| Not Available |
| Full Name | Shenandoah Valley Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1260 Lakeview Dr, Cross Junction, Virginia |
| Authorized Official Name and Position | Laurimar Mendoza Diaz (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7575530617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shenandoah Valley Aba, Llc 1260 Lakeview Dr Cross Junction VA 22625-2523 Ph: (757) 553-0798 | Shenandoah Valley Aba, Llc 1260 Lakeview Dr Cross Junction VA 22625-2523 Ph: (757) 553-0798 |
| NPI Number | 1386369478 |
|---|---|
| Provider Enumeration Date | 10/11/2022 |
| Last Update Date | 10/11/2022 |
| Certification Date | 10/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386369478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Timber Ridge School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1463 New Hope Rd, Cross Junction, VA 22625 Phone: 540-888-3456 |