Provider Demographics
NPI:1689080855
Name:VIAN, APRIL (BCBA)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:VIAN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 TIMBERNECK RD
Mailing Address - Street 2:
Mailing Address - City:DELTAVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23043-2098
Mailing Address - Country:US
Mailing Address - Phone:804-384-7242
Mailing Address - Fax:
Practice Address - Street 1:179 TIMBERNECK RD
Practice Address - Street 2:
Practice Address - City:DELTAVILLE
Practice Address - State:VA
Practice Address - Zip Code:23043-2098
Practice Address - Country:US
Practice Address - Phone:804-384-7242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1-14-16257103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst