| Aba Va Llc | |
|
1210 Foxcroft Rd Henrico VA 23229-5904 | |
| (804) 874-2921 | |
| Not Available |
| Full Name | Aba Va Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1210 Foxcroft Rd, Henrico, Virginia |
| Authorized Official Name and Position | Jenny C Lane (OWNER) |
| Authorized Official Contact | 8048742921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Va Llc 1210 Foxcroft Rd Henrico VA 23229-5904 Ph: () - | Aba Va Llc 1210 Foxcroft Rd Henrico VA 23229-5904 Ph: (804) 874-2921 |
| NPI Number | 1073981494 |
|---|---|
| Provider Enumeration Date | 09/02/2015 |
| Last Update Date | 09/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073981494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-14-15534 (Virginia) | Primary |
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