| Tpm Behavioral Support Services, Llc | |
|
2409 Trimaran Way Woodbridge VA 22191-3080 | |
| (804) 519-9393 | |
| Not Available |
| Full Name | Tpm Behavioral Support Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2409 Trimaran Way, Woodbridge, Virginia |
| Authorized Official Name and Position | Tiffanye Mckinney (OWNER) |
| Authorized Official Contact | 8045199393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tpm Behavioral Support Services, Llc 2409 Trimaran Way Woodbridge VA 22191-3080 Ph: (804) 519-9393 | Tpm Behavioral Support Services, Llc 2409 Trimaran Way Woodbridge VA 22191-3080 Ph: (804) 519-9393 |
| NPI Number | 1487431052 |
|---|---|
| Provider Enumeration Date | 09/08/2023 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487431052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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