Organization
SPIRIT ABA VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KAUFMAN (DIRECTOR)
(303) 276-3995
Entity
Organization
Contact information
Practice address
999 WATERSIDE DR STE 2525, NORFOLK, VA 23510-3316
(732) 267-4591
Mailing address
999 WATERSIDE DR STE 2525, NORFOLK, VA 23510-3316
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
08/04/2025
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