Organization
DISCOVERY ABA VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ELIAS (MANAGING MEMBER)
(704) 561-1143
Entity
Organization
Contact information
Practice address
5705 LYNNHAVEN PKWY STE 104, VIRGINIA BEACH, VA 23464-9157
(704) 561-1143
Mailing address
5705 LYNNHAVEN PKWY STE 104, VIRGINIA BEACH, VA 23464-9157
(704) 561-1143
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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