Individual
ANDREA BAUMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3040 AVEMORE SQUARE PL, CHARLOTTESVILLE, VA 22911-7228
(434) 220-0089
(434) 220-0103
Mailing address
3040 AVEMORE SQUARE PL, CHARLOTTESVILLE, VA 22911-7228
(434) 220-0089
(434) 220-0103
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003081
VA
103K00000X
Behavior Analyst
1-20-43268
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133003081
LBA
VA
01
—
1-20-43268
BEHAVIOR ANALYST CERTIFICATION BOARD
—
01
—
14920677
CAQH PROVIDER ID
—
Enumeration date
11/01/2017
Last updated
09/20/2023
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