| Mountain Waves Aba, Llc | |
|
6746 Thirlane Rd Roanoke VA 24019-2908 | |
| (540) 915-4767 | |
| (540) 202-9002 |
| Full Name | Mountain Waves Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6746 Thirlane Rd, Roanoke, Virginia |
| Authorized Official Name and Position | Abigail Erin Hard (OWNER) |
| Authorized Official Contact | 5409154767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Waves Aba, Llc 730 Camp North Rd Salem VA 24153-3046 Ph: (540) 915-4767 | Mountain Waves Aba, Llc 6746 Thirlane Rd Roanoke VA 24019-2908 Ph: (540) 915-4767 |
| NPI Number | 1326883521 |
|---|---|
| Provider Enumeration Date | 06/28/2024 |
| Last Update Date | 08/20/2024 |
| Certification Date | 08/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326883521 | NPI | - | NPPES |
| 1609355809 | Medicaid | VA | |
| 30016163330003 | Medicaid | VA | |
| 30017464310001 | Medicaid | VA | |
| 1134854946 | Medicaid | VA | |
| 1811418668 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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