Organization
SJC BEHAVIOR THERAPY & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA CHONA DECASTRO BCBA (OWNER/PRESIDENT)
(757) 339-4198
Entity
Organization
Contact information
Practice address
5045 MADEIRA RD, VIRGINIA BEACH, VA 23455-3956
(757) 339-4198
Mailing address
5045 MADEIRA RD, VIRGINIA BEACH, VA 23455-3956
(757) 339-4198
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000355
VA
Other
Enumeration date
03/25/2017
Last updated
03/25/2017
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