Organization
BEHAVIORAL PROGRESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY BENNETT M.ED., B.C.B.A. (BEHAVIOR ANALYST)
(757) 575-6060
Entity
Organization
Contact information
Practice address
41883 PRECIOUS SQ, ALDIE, VA 20105-3435
(757) 575-6060
Mailing address
41883 PRECIOUS SQ, ALDIE, VA 20105-3435
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
0133000080
VA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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