Provider Demographics
NPI:1114331071
Name:THRIVE ABA CONSULTING LLC
Entity Type:Organization
Organization Name:THRIVE ABA CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ZACK
Authorized Official - Middle Name:
Authorized Official - Last Name:MIGIOIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-714-4266
Mailing Address - Street 1:120 BOWERY ST
Mailing Address - Street 2:#308
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-3756
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:120 BOWERY ST
Practice Address - Street 2:#308
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3756
Practice Address - Country:US
Practice Address - Phone:843-714-4266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000315103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty