Organization
ABA GRATEFUL CARE VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REUVEN LEVOVITZ (CEO)
(917) 285-0113
Entity
Organization
Contact information
Practice address
1021 EDEN WAY N STE 118, CHESAPEAKE, VA 23320-2776
(317) 572-5315
Mailing address
1021 EDEN WAY N STE 118, CHESAPEAKE, VA 23320-2776
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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