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Organization

COASTAL BEHAVIOR CONSULTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEFANIE S GRIFFEY M.ED, BCBA, LBA (PRESIDENT)
(757) 962-9110
Entity
Organization

Contact information

Practice address
1030 JAMESTOWN CRES, NORFOLK, VA 23508-1260
(757) 962-9110
Mailing address
1030 JAMESTOWN CRES, NORFOLK, VA 23508-1260
(757) 962-9110

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000134
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1356577886
INDIVIDUAL NPI
Enumeration date
07/21/2014
Last updated
07/21/2014
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