Organization
GREEN BOX ABA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER RICHARDSON (CHIEF OPERATING OFFICER)
(571) 297-4308
Entity
Organization
Contact information
Practice address
6216 OLD KEENE MILL CT, SPRINGFIELD, VA 22152-2323
(571) 297-4308
(703) 992-0405
Mailing address
7704 GROMWELL CT, SPRINGFIELD, VA 22152-3134
(703) 975-2791
(703) 639-0440
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0133000288
VA
Other
Enumeration date
10/24/2014
Last updated
09/14/2022
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