Organization
ABA AT THE BAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN FRIES MS, BCBA, LBA (OWNER)
(757) 576-9361
Entity
Organization
Contact information
Practice address
4636 CORONET AVE UNIT A, VIRGINIA BEACH, VA 23455-1404
(757) 576-9361
Mailing address
4636 CORONET AVE UNIT A, VIRGINIA BEACH, VA 23455-1404
(757) 576-9361
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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