Organization
BALANCE BEHAVIOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLOWYN ROUGHTON MSED BCBA LBA (OWNE4R)
(757) 955-1052
Entity
Organization
Contact information
Practice address
1621 BAILEY LN, VIRGINIA BEACH, VA 23451-5942
(757) 955-1052
(757) 524-4253
Mailing address
1621 BAILEY LN, VIRGINIA BEACH, VA 23451-5942
(757) 955-1052
(757) 524-4253
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/27/2019
Last updated
07/27/2019
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