| Changing Tides Behavioral Therapy Llc | |
|
118 Railway Rd Yorktown VA 23692-2930 | |
| (757) 817-0089 | |
| Not Available |
| Full Name | Changing Tides Behavioral Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 118 Railway Rd, Yorktown, Virginia |
| Authorized Official Name and Position | Alexandra Jones (OWNER) |
| Authorized Official Contact | 7578170089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Tides Behavioral Therapy Llc 118 Railway Rd Yorktown VA 23692-2930 Ph: (757) 817-0089 | Changing Tides Behavioral Therapy Llc 118 Railway Rd Yorktown VA 23692-2930 Ph: (757) 817-0089 |
| NPI Number | 1538820139 |
|---|---|
| Provider Enumeration Date | 01/05/2022 |
| Last Update Date | 01/05/2022 |
| Certification Date | 01/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538820139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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