Organization
BEYOND BEHAVIOR CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER R WADE M.ED., BCBA (SOLE MEMBER)
(804) 539-9987
Entity
Organization
Contact information
Practice address
4501 TALL HICKORY DR, MIDLOTHIAN, VA 23112-4805
(804) 539-9987
Mailing address
4501 TALL HICKORY DR, MIDLOTHIAN, VA 23112-4805
(804) 539-9987
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000139
VA
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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