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NPI Code Detail

MEDICARE: DREAM BUILDERS ABA VA LLC

MEDICARE: DREAM BUILDERS ABA VA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician
3103K00000XBehavior Analyst

General Provider Information

NPI Number : 1073388807
Entity Type Code : Organization
Provider Name (Legal Business Name) : DREAM BUILDERS ABA VA LLC
Provider Business Mailing Address
First Line : 1624 LASKIN RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-7507
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1624 LASKIN RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-7507
Country : US
Telephone Number : 732-228-3532
Fax Number :
Authorized Official
Title or Position : PARTNER
Name : CHAYA L MAYER
Credential :
Telephone Number : 732-228-3532
Provider Enumeration Date : 11/21/2023
Last Update Date : 11/21/2023

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Directions to “DREAM BUILDERS ABA VA LLC ” Practice Location

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