Organization
SHENANDOAH VALLEY ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIMAR MENDOZA DIAZ (CHIEF EXECUTIVE OFFICER)
(757) 553-0617
Entity
Organization
Contact information
Practice address
1260 LAKEVIEW DR, CROSS JUNCTION, VA 22625-2523
(757) 553-0798
Mailing address
1260 LAKEVIEW DR, CROSS JUNCTION, VA 22625-2523
(757) 553-0798
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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