Organization
ABA BEDROCK VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYER KULEFSKY (COO)
(347) 461-0983
Entity
Organization
Contact information
Practice address
999 WATERSIDE DR STE 25252600, NORFOLK, VA 23510-3300
(347) 461-0983
Mailing address
999 WATERSIDE DR STE 25252600, NORFOLK, VA 23510-3300
(347) 461-0983
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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