Healthcare Provider Details

I. General information

NPI: 1568366888
Provider Name (Legal Business Name): HEALTH PRO PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 MILL POINT DR
HAMPTON VA
23669-3510
US

IV. Provider business mailing address

229 MILL POINT DR
HAMPTON VA
23669-3510
US

V. Phone/Fax

Practice location:
  • Phone: 716-319-7623
  • Fax:
Mailing address:
  • Phone: 716-319-7623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MEKHI WILLIAMS
Title or Position: RBT
Credential: MW
Phone: 716-319-7623