| Golden Moon Aba Va Llc | |
|
701 E Franklin St Richmond VA 23219-2512 | |
| (917) 494-0666 | |
| Not Available |
| Full Name | Golden Moon Aba Va Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 701 E Franklin St, Richmond, Virginia |
| Authorized Official Name and Position | Marc Jacobowitz (CEO) |
| Authorized Official Contact | 9174940666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Moon Aba Va Llc 301 Mill Rd Hewlett NY 11557-1291 Ph: () - | Golden Moon Aba Va Llc 701 E Franklin St Richmond VA 23219-2512 Ph: (917) 494-0666 |
| NPI Number | 1831023381 |
|---|---|
| Provider Enumeration Date | 06/10/2026 |
| Last Update Date | 06/10/2026 |
| Certification Date | 06/10/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831023381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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