Healthcare Provider Details

I. General information

NPI: 1821562331
Provider Name (Legal Business Name): KINDLING BEHAVIOR CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2019
Last Update Date: 01/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3414 MONUMENT AVE UNIT 304
RICHMOND VA
23221-1302
US

IV. Provider business mailing address

3414 MONUMENT AVE UNIT 304
RICHMOND VA
23221-1302
US

V. Phone/Fax

Practice location:
  • Phone: 804-256-5505
  • Fax: 888-414-7393
Mailing address:
  • Phone: 804-256-5505
  • 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 Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MS. RACHEL ROWDEN
Title or Position: EXECUTIVE DIRECTOR
Credential: BCBA, LBA
Phone: 804-256-5505