NPI 1619716206 · live from the CMS NPI Registry
Advanceable Va Aba LLC
Behavior Analyst in Farmville, VA. National Provider Identifier 1619716206, active.
NPI record
| NPI | 1619716206 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 303 Holman St, Farmville, VA 23901 |
| Practice phone | 948-222-4968 |
| Mailing address | 1007 Broadway, Woodmere, NY 11598 |
| Enumerated | May 22, 2024 |
| Last updated | April 21, 2025 |
| Authorized official | Michael Wassner, Ceo |
| Other names | Advanceable Aba |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.