Kidfirst Aba Llc | |
40963 Bruzzo Woods Ct Aldie VA 20105-2298 | |
(157) 125-1586 | |
Not Available |
Full Name | Kidfirst Aba Llc |
---|---|
Speciality | Behavior Analyst |
Location | 40963 Bruzzo Woods Ct, Aldie, Virginia |
Authorized Official Name and Position | Krystle L Curley (OWNER, CLINICAL DIRECTOR) |
Authorized Official Contact | 5712515868 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kidfirst Aba Llc 40963 Bruzzo Woods Ct Aldie VA 20105-2298 Ph: (571) 251-5868 | Kidfirst Aba Llc 40963 Bruzzo Woods Ct Aldie VA 20105-2298 Ph: (157) 125-1586 |
NPI Number | 1477327401 |
---|---|
Provider Enumeration Date | 11/09/2023 |
Last Update Date | 11/09/2023 |
Certification Date | 11/09/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477327401 | NPI | - | NPPES |
1-20-41253 | Other | IL | BCBA CERTIFICATION NUMBER |
1831724335 | Other | PERSONAL NPI NUMBER FOR KRYSTLE CURLEY | |
0133001678 | Other | VA | LICENSED BEHAVIOR ANALYST # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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