NPI 1962736595 · live from the CMS NPI Registry
Behavior Health & Wellness Center, LLC
Behavior Analyst in Newport News, VA. National Provider Identifier 1962736595, active.
NPI record
| NPI | 1962736595 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 11824 Fishing Point Dr Ste B, Newport News, VA 23606 |
| Practice phone | 757-599-0012 |
| Mailing address | 3024 Cone Manor Ln, Raleigh, NC 27613 |
| Enumerated | September 29, 2009 |
| Last updated | December 4, 2024 |
| Authorized official | Marlin Metters, Partner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Counselor, Professional | 101YP2500X | — |
| Behavior Analyst primary | 103K00000X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Pediatrics, Developmental - Behavioral Pediatrics | 2080P0006X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.