Organization
PRAXIS BEHAVIORAL CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY JAMBA MA, BCBA (OWNER/ SECRETARY)
(310) 940-8853
Entity
Organization
Contact information
Practice address
1331 BOLLING AVE, NORFOLK, VA 23508-1301
(310) 940-8853
(804) 684-5112
Mailing address
1331 BOLLING AVE, NORFOLK, VA 23508-1301
(310) 940-8853
(804) 684-5112
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000146
VA
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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