Basic Information
| Provider Information | |||||||||
| NPI: | 1073890877 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | NAVIGATION BEHAVIORAL CONSULTING | ||||||||
| LastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 4828 HARBOR OAKS WAY | ||||||||
| Address2: | |||||||||
| City: | VIRGINIA BEACH | ||||||||
| State: | VA | ||||||||
| PostalCode: | 234551944 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8503485724 | ||||||||
| FaxNumber: | 8884178523 | ||||||||
| Practice Location | |||||||||
| Address1: | 4828 HARBOR OAKS WAY | ||||||||
| Address2: | |||||||||
| City: | VIRGINIA BEACH | ||||||||
| State: | VA | ||||||||
| PostalCode: | 234551944 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8503485724 | ||||||||
| FaxNumber: | 8884178523 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2011 | ||||||||
| LastUpdateDate: | 11/08/2011 | ||||||||
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| AuthorizedOfficialLastName: | MILLER | ||||||||
| AuthorizedOfficialFirstName: | MEGAN | ||||||||
| AuthorizedOfficialMiddleName: | MARIE | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER/DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 8503485724 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | BCBA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 1-07-3498 | VA | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.