MEDICARE: PHOEBE LIEF

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
1	103K00000X	Behavior Analyst	1-23-68365	VA

General Provider Information

NPI Number	:	1457853863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHOEBE LIEF

Provider Business Mailing Address
First Line	:	7101 FOREST HILL AVE STE J
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-1553
Country	:	US
Telephone Number	:	804-221-9718
Fax Number	:

Provider Business Practice Location Address
First Line	:	7101 FOREST HILL AVE STE J
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-1553
Country	:	US
Telephone Number	:	804-221-9718
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2018
Last Update Date	:	01/20/2026

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Directions to “ PHOEBE LIEF ” Practice Location

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