Organization
HAMPTON ROADS ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA M ALI BCBA (CLINICAL DIRECTOR BCBA)
(310) 309-1091
Entity
Organization
Contact information
Practice address
908 SALISBURY GRN, VIRGINIA BCH, VA 23452-6123
(310) 309-1091
Mailing address
908 SALISBURY GRN, VIRGINIA BCH, VA 23452-6123
(310) 309-1091
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
11/17/2022
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