Organization
CONNEX FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIANCA RIDDLE (OWNER)
(804) 832-2272
Entity
Organization
Contact information
Practice address
6948 MAIN STREET STE. 12, GLOUCESTER, VA 23061
(757) 778-7964
Mailing address
PO BOX 621, ARK, VA 23003-0621
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/19/2018
Last updated
09/10/2018
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