| Thrive Behavioral Consulting, Llc | |
|
204 Reservoir Ln Suffolk VA 23434-4456 | |
| (540) 903-5605 | |
| (888) 410-1140 |
| Full Name | Thrive Behavioral Consulting, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 204 Reservoir Ln, Suffolk, Virginia |
| Authorized Official Name and Position | Kristen Goins (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 5409035605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Behavioral Consulting, Llc 204 Reservoir Ln Suffolk VA 23434-4456 Ph: (540) 903-5605 | Thrive Behavioral Consulting, Llc 204 Reservoir Ln Suffolk VA 23434-4456 Ph: (540) 903-5605 |
| NPI Number | 1316547516 |
|---|---|
| Provider Enumeration Date | 10/27/2020 |
| Last Update Date | 10/27/2020 |
| Certification Date | 10/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316547516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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