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Organization
P4P BEHAVIOR HEALTHCARE, PLLC
Active
Organization
P4P BEHAVIOR HEALTHCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RHANADA VAZQUEZ DSL, LPC (CEO)
(757) 301-1160
Entity
Organization
Contact information
Practice address
6465 COLLEGE PARK SQ STE 210, VIRGINIA BEACH, VA 23464-3622
(757) 336-8356
(757) 257-3450
Mailing address
6465 COLLEGE PARK SQ STE 210, VIRGINIA BEACH, VA 23464-3622
(757) 336-8356
(757) 257-3450
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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