| Southampton Behavior Therapy Llc | |
|
21635 Cobb Pond Dr Courtland VA 23837-2196 | |
| (863) 837-8007 | |
| Not Available |
| Full Name | Southampton Behavior Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 21635 Cobb Pond Dr, Courtland, Virginia |
| Authorized Official Name and Position | Keisha Kline (OWNER) |
| Authorized Official Contact | 8638378007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southampton Behavior Therapy Llc 21635 Cobb Pond Dr Courtland VA 23837-2196 Ph: (863) 837-8007 | Southampton Behavior Therapy Llc 21635 Cobb Pond Dr Courtland VA 23837-2196 Ph: (863) 837-8007 |
| NPI Number | 1780491332 |
|---|---|
| Provider Enumeration Date | 12/17/2024 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780491332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Phases Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27037 Flaggy Run Rd, Courtland, VA 23837 Phone: 757-376-0149 | |
Southampton County School Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21308 Plank Rd, Courtland, VA 23738 Phone: 757-653-2692 Fax: 757-653-9422 |