Healthcare Provider Details

I. General information

NPI: 1609514728
Provider Name (Legal Business Name): ABAZING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2022
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3630 GEORGE WASHINGTON MEM HWY STE D
YORKTOWN VA
23693-3350
US

IV. Provider business mailing address

3630 GEORGE WASHINGTON MEM HWY STE D
YORKTOWN VA
23693-3350
US

V. Phone/Fax

Practice location:
  • Phone: 757-848-4469
  • Fax: 973-284-8846
Mailing address:
  • Phone: 757-848-4469
  • Fax: 973-284-8846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DELONTE TREQUAN JONES
Title or Position: BCBA
Credential: BCBA
Phone: 434-610-9856