Organization
ABA PATHWAY TO POTENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YACOV GIGI (REGIONAL DIRECTOR)
(646) 250-9953
Entity
Organization
Contact information
Practice address
11815 FOUNTAIN WAY STE 300, NEWPORT NEWS, VA 23606-4448
(646) 250-9953
Mailing address
11815 FOUNTAIN WAY STE 300, NEWPORT NEWS, VA 23606-4448
(646) 250-9953
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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