Provider Demographics
NPI:1891466918
Name:HILL, ALBERT LEE III (RBT)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:LEE
Last Name:HILL
Suffix:III
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2174 HUMPHREYS DR
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-3454
Mailing Address - Country:US
Mailing Address - Phone:757-286-2672
Mailing Address - Fax:
Practice Address - Street 1:443 KEMPSVILLE RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-4797
Practice Address - Country:US
Practice Address - Phone:757-455-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VARBT-20-122028106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician