Organization
PENINSULA BEHAVIORAL CONSULTING
Active
Organization
PENINSULA BEHAVIORAL CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH A MARTIN BCBA, LBA (OWNER)
(757) 329-6790
Entity
Organization
Contact information
Practice address
125 SEMPLE FARM RD, APT 103, HAMPTON, VA 23666-1459
(757) 329-6790
Mailing address
125 SEMPLE FARM RD, APT 103, HAMPTON, VA 23666-1459
(757) 329-6790
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0133000176
VA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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