Changing Tides Behavioral Therapy LLC

NPI #1538820139 in Yorktown, Virginia

Provider Information

NPI Number: 1538820139
Entity Type: Organization
Organization Name: Changing Tides Behavioral Therapy LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 5, 2022
Last Updated: Jan 5, 2022

Practice Location

Address: 118 RAILWAY RD
City: Yorktown
State: Virginia
ZIP Code: 23692-2930
Phone: (757) 817-0089

Authorized Official

Name: MRS. ALEXANDRA JONES, MED, BCBA, LBA
Title: OWNER
Phone: (757) 817-0089

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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