Healthcare Provider Details

I. General information

NPI: 1710742226
Provider Name (Legal Business Name): ABOVE AND BEYOND ABA CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2024
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1408 SHADY TREE WAY
CHESAPEAKE VA
23323-2942
US

IV. Provider business mailing address

4445 CORPORATION LN STE 264
VIRGINIA BEACH VA
23462-3671
US

V. Phone/Fax

Practice location:
  • Phone: 703-884-0676
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: RITHLY JOACHIM
Title or Position: BCBA
Credential:
Phone: 703-884-0676