NPI 1972174605 · live from the CMS NPI Registry
Aba Of Southwest Va
Behavior Analyst in Pulaski, VA. National Provider Identifier 1972174605, active.
NPI record
| NPI | 1972174605 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1320 Hopkins Dr, Pulaski, VA 24301 |
| Practice phone | 540-315-6455 |
| Enumerated | July 4, 2021 |
| Last updated | July 4, 2021 |
| Authorized official | Meredith Kapalka, Licensed 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.