Organization
LUMAPATHS BEHAVIORAL SERVICES, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY SHAW MAT, BCBA, LBA (FOUNDER & EXECUTIVE DIRECTOR)
(757) 932-9057
Entity
Organization
Contact information
Practice address
629 PHOENIX DR STE 115, VIRGINIA BEACH, VA 23452-7392
(757) 932-9057
(757) 743-9004
Mailing address
629 PHOENIX DR STE 115, VIRGINIA BEACH, VA 23452-7392
(757) 932-9057
(757) 743-9004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000525
VA
Other
Enumeration date
03/09/2016
Last updated
02/06/2024
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