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Organization

MOUNTAIN WAVES ABA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABIGAIL ERIN HARD BCBA (OWNER)
(540) 915-4767
Entity
Organization

Contact information

Practice address
6746 THIRLANE RD, ROANOKE, VA 24019-2908
(540) 915-4767
(540) 202-9002
Mailing address
730 CAMP NORTH RD, SALEM, VA 24153-3046
(540) 915-4767
(540) 202-9002

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1134854946
VA
05
1609355809
VA
05
1811418668
VA
05
30016163330003
VA
05
30017464310001
VA
Enumeration date
06/28/2024
Last updated
08/20/2024
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