Healthcare Provider Details

I. General information

NPI: 1619811122
Provider Name (Legal Business Name): OH BEE-HAVE ABA CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1119 N KING ST
HAMPTON VA
23669-2546
US

IV. Provider business mailing address

1119 N KING ST
HAMPTON VA
23669-2546
US

V. Phone/Fax

Practice location:
  • Phone: 757-725-3799
  • Fax:
Mailing address:
  • Phone: 757-725-3799
  • Fax: 757-299-9907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: REBECCA ANTIO
Title or Position: BILLING/CREDENTIALING MANAGER
Credential:
Phone: 571-277-1657