| Nest Life Virginia, Llc | |
|
5951 Dugout Ter Mechanicsville VA 23111-4570 | |
| (727) 201-2389 | |
| (855) 224-4326 |
| Full Name | Nest Life Virginia, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5951 Dugout Ter, Mechanicsville, Virginia |
| Authorized Official Name and Position | Jennifer Phelps (CEO/CO-FOUNDER) |
| Authorized Official Contact | 7272012389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nest Life Virginia, Llc 360 Central Ave Ste 800 St Petersburg FL 33701-3984 Ph: (727) 201-2389 | Nest Life Virginia, Llc 5951 Dugout Ter Mechanicsville VA 23111-4570 Ph: (727) 201-2389 |
| NPI Number | 1003583873 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003583873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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