Organization
KIDS CONNECTED BEHAVIORAL CONSULTING LLC
Active
Organization
KIDS CONNECTED BEHAVIORAL CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRITNEY MARIE VACCARO BCBA, LBA (CLINICAL SUPERVISOR)
(804) 937-3394
Entity
Organization
Contact information
Practice address
3420 PUMP RD # 290, HENRICO, VA 23233-1111
(804) 937-3394
Mailing address
3420 PUMP RD # 290, HENRICO, VA 23233-1111
(804) 937-3394
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
0133000819
VA
Other
Enumeration date
03/14/2014
Last updated
09/06/2016
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