| Driven Behavioral Support Llc | |
|
10468 Investors Pl Ste B Spotsylvania VA 22553-1749 | |
| (540) 479-7823 | |
| (540) 301-8315 |
| Full Name | Driven Behavioral Support Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10468 Investors Pl Ste B, Spotsylvania, Virginia |
| Authorized Official Name and Position | Juan Manuel Mondillo (OWNER) |
| Authorized Official Contact | 5404797823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Driven Behavioral Support Llc 10468 Investors Pl Ste B Spotsylvania VA 22553-1749 Ph: (540) 479-7823 | Driven Behavioral Support Llc 10468 Investors Pl Ste B Spotsylvania VA 22553-1749 Ph: (540) 479-7823 |
| NPI Number | 1831732486 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 07/28/2020 |
| Certification Date | 07/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831732486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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