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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