Provider Demographics
NPI:1851755003
Name:BEHAVIOR ANALYTIC ASSOCIATES
Entity Type:Organization
Organization Name:BEHAVIOR ANALYTIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CATES
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:401-954-4841
Mailing Address - Street 1:522 ATAMASCO ST
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323
Mailing Address - Country:US
Mailing Address - Phone:401-954-4841
Mailing Address - Fax:757-998-2017
Practice Address - Street 1:522 ATAMASCO ST
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323
Practice Address - Country:US
Practice Address - Phone:401-954-4841
Practice Address - Fax:757-998-2017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-13
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000066103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty