| Southeastern Aba PLLC | |
|
4213 Rivercliff Cres E Suffolk VA 23435-1341 | |
| (757) 392-6802 | |
| Not Available |
| Full Name | Southeastern Aba PLLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4213 Rivercliff Cres E, Suffolk, Virginia |
| Authorized Official Name and Position | Bonnie Kristine Bender (OWNER) |
| Authorized Official Contact | 7573926802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Aba PLLC 4213 Rivercliff Cres E Suffolk VA 23435-1341 Ph: (757) 392-6802 | Southeastern Aba PLLC 4213 Rivercliff Cres E Suffolk VA 23435-1341 Ph: (757) 392-6802 |
| NPI Number | 1013846146 |
|---|---|
| Provider Enumeration Date | 05/15/2026 |
| Last Update Date | 05/15/2026 |
| Certification Date | 05/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013846146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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