NPI 1710336557 · live from the CMS NPI Registry
180 Behavioral Consulting, LLC
Behavior Analyst in Suffolk, VA. National Provider Identifier 1710336557, active.
NPI record
| NPI | 1710336557 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 6733 Burbage Lake Cir, Suffolk, VA 23435 |
| Practice phone | 315-264-4400 |
| Enumerated | June 10, 2016 |
| Last updated | June 10, 2016 |
| Authorized official | Allison Kuhn, Behavior Analyst |
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.