Individual
MR. ROBERT AUSTIN-VILLANUEVA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
8000 BROOK RD, RICHMOND, VA 23227-1338
(804) 521-5579
(804) 553-3310
Mailing address
2820 WATERFORD LAKE DR STE 102, MIDLOTHIAN, VA 23112-3994
(804) 658-4509
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133004029
VA
106E00000X
Assistant Behavior Analyst
0-21-13178
VA
106S00000X
Behavior Technician
RBT-21-161513
VA
Other
Enumeration date
11/22/2021
Last updated
12/12/2024
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