Healthcare Provider Details

I. General information

NPI: 1548024482
Provider Name (Legal Business Name): SPECIALED NAVIGATOR PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2024
Last Update Date: 09/02/2025
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 SWAN RD
WILLIAMSBURG VA
23188-9408
US

IV. Provider business mailing address

5501 SWAN RD
WILLIAMSBURG VA
23188-9408
US

V. Phone/Fax

Practice location:
  • Phone: 757-737-5456
  • Fax: 757-716-4787
Mailing address:
  • Phone: 757-275-0618
  • Fax: 757-716-4787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. LYNN HUSBAND
Title or Position: OWNER
Credential: BCBA
Phone: 757-737-5456