| Hampton Roads Aba | |
|
908 Salisbury Grn Virginia Bch VA 23452-6123 | |
| (310) 309-1091 | |
| Not Available |
| Full Name | Hampton Roads Aba |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 908 Salisbury Grn, Virginia Bch, Virginia |
| Authorized Official Name and Position | Elena M Ali (CLINICAL DIRECTOR BCBA) |
| Authorized Official Contact | 3103091091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hampton Roads Aba 908 Salisbury Grn Virginia Bch VA 23452-6123 Ph: (310) 309-1091 | Hampton Roads Aba 908 Salisbury Grn Virginia Bch VA 23452-6123 Ph: (310) 309-1091 |
| NPI Number | 1881286383 |
|---|---|
| Provider Enumeration Date | 02/05/2021 |
| Last Update Date | 11/17/2022 |
| Certification Date | 11/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881286383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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