| Tidewater Behavior Project | |
|
31 Arline Dr Newport News VA 23608-2256 | |
| (757) 778-8886 | |
| Not Available |
| Full Name | Tidewater Behavior Project |
|---|---|
| Speciality | Behavior Analyst |
| Location | 31 Arline Dr, Newport News, Virginia |
| Authorized Official Name and Position | Jessica Rae Fontaine (OWNER) |
| Authorized Official Contact | 7577788886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Behavior Project 31 Arline Dr Newport News VA 23608-2256 Ph: (757) 778-8886 | Tidewater Behavior Project 31 Arline Dr Newport News VA 23608-2256 Ph: (757) 778-8886 |
| NPI Number | 1922679927 |
|---|---|
| Provider Enumeration Date | 07/09/2021 |
| Last Update Date | 07/09/2021 |
| Certification Date | 07/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922679927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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