Providence Community ABA
Providence Community ABA is a Behavior Analyst in Stafford, Virginia. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
22 Kassy LnStafford, VA 22556-6577
Phone: (253) 722-9152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|
Record details
| NPI number | 1902570443 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bridget Nkematabong — Manager · (253) 722-9152 |
| NPI enumerated | August 8, 2021 |
| Last updated in NPPES | January 23, 2024 |
| Certification date | January 23, 2024 |
| Mailing address | 5614 Joshua Tree Cir, Fredericksburg, VA 22407-9341 |
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Georgia Pratt
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Mrs. Kayleigh Rasnick, BCABA
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Angelique Dejuan Reynolds-King
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Gabriella Rosado
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