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NPI Code Detail

MEDICARE: ASCEND WITH ABA PLLC

MEDICARE: ASCEND WITH ABA PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1740942390
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASCEND WITH ABA PLLC
Provider Business Mailing Address
First Line : 429 CAROLINA AVE
Second Line :
City : VIRGINIA BCH
State : VA
Zip : 23451-4604
Country : US
Telephone Number : 757-685-1384
Fax Number :
Provider Business Practice Location Address
First Line : 429 CAROLINA AVE
Second Line :
City : VIRGINIA BCH
State : VA
Zip : 23451-4604
Country : US
Telephone Number : 757-685-1384
Fax Number :
Authorized Official
Title or Position : SUPERVISOR
Name : SARA LAMONT
Credential : M.ED., BCBA, LBA
Telephone Number : 757-685-1384
Provider Enumeration Date : 10/12/2021
Last Update Date : 10/12/2021

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Directions to “ASCEND WITH ABA PLLC ” Practice Location

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