Old Town Aba, Llc

LBN: Old Town Aba, Llc
Old Town Aba, Llc is an health care organization with primary practice located at 111 Nevermore Drive , Winchester VA 22602. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Agencies / Day Training, Developmentally Disabled Services. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Old Town Aba, Llc can be contacted via phone (703) 727-9417, or through Evans, Rachel Nicole via phone (703) 727-9417.

Contact Information

Primary practice address
111 Nevermore Drive Winchester VA 22602
Phone: (703) 727-9417
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Evans, Rachel Nicole BCBA
Phone: (703) 727-9417

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1689257354
LBN Legal business name Old Town Aba, Llc
DBA Doing business as
Authorized official Evans, Rachel Nicole BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2021
Last updated Apr 26th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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