Organization
DOM ABA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDRA FENTRESS BCBA (CLINICAL DIRECTOR)
(757) 895-2673
Entity
Organization
Contact information
Practice address
611 STATION SQUARE CT, CHESAPEAKE, VA 23320-0705
(757) 752-6225
Mailing address
611 STATION SQUARE CT, CHESAPEAKE, VA 23320-0705
(757) 895-2673
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
08/24/2021
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