Organization
ABA MAGICAL MOMENTS VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB KLEIN (OWNER)
(317) 648-9509
Entity
Organization
Contact information
Practice address
405 E LABURNUM AVE STE 3-200, RICHMOND, VA 23222-2120
(317) 648-9509
Mailing address
405 E LABURNUM AVE STE 3-200, RICHMOND, VA 23222-2120
(317) 648-9509
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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