Healthcare Provider Details

I. General information

NPI: 1053774182
Provider Name (Legal Business Name): CIARA LINDSEY PARSOLANO BCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2016
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1833 LINCOLNSHIRE PL
VIRGINIA BEACH VA
23464-6950
US

IV. Provider business mailing address

4224 HOLLAND RD STE 106
VIRGINIA BEACH VA
23452-1900
US

V. Phone/Fax

Practice location:
  • Phone: 956-357-2589
  • Fax:
Mailing address:
  • Phone: 757-416-5290
  • Fax: 757-416-6483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-86762
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: