Individual
GREG TIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
4224 HOLLAND RD STE 106, VIRGINIA BEACH, VA 23452-1900
(757) 416-5290
Mailing address
4224 HOLLAND RD STE 106, VIRGINIA BEACH, VA 23452-1900
(757) 416-5290
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001423
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133001423
VA LICENSED BEHAVIOR ANALYST
VA
Enumeration date
12/27/2017
Last updated
08/19/2019
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