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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