Organization
MOUNTAINSIDE BEHAVIOR ANALYSIS SERVICES, LCC
Active
Organization
MOUNTAINSIDE BEHAVIOR ANALYSIS SERVICES, LCC
Active
Other names
Mountainside ABA
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SIMONS BCBA (OWNER)
(304) 851-6643
Entity
Organization
Contact information
Practice address
25 THISTLE LN, DAVIS, WV 26260-1104
(304) 801-3258
(304) 362-0025
Mailing address
25 THISTLE LN, DAVIS, WV 26260-1104
(304) 801-3258
(304) 362-0025
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0133000550
VA
Other
Enumeration date
01/10/2017
Last updated
03/17/2022
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