| Tidewater Behavioral Services, Llc | |
|
2213 Scallop Rd Virginia Beach VA 23451-1118 | |
| (540) 447-0070 | |
| Not Available |
| Full Name | Tidewater Behavioral Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2213 Scallop Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Torry Coffey Morris (BCBA, LBA) |
| Authorized Official Contact | 5404470070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Behavioral Services, Llc 2213 Scallop Rd Virginia Beach VA 23451-1118 Ph: (540) 447-0070 | Tidewater Behavioral Services, Llc 2213 Scallop Rd Virginia Beach VA 23451-1118 Ph: (540) 447-0070 |
| NPI Number | 1265886915 |
|---|---|
| Provider Enumeration Date | 04/19/2016 |
| Last Update Date | 04/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265886915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (Virginia) | Primary |
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