Provider Demographics
NPI:1912536251
Name:HALL, ADRIEL SHERREL (RBT)
Entity Type:Individual
Prefix:
First Name:ADRIEL
Middle Name:SHERREL
Last Name:HALL
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 LOCHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-7700
Mailing Address - Country:US
Mailing Address - Phone:267-918-6047
Mailing Address - Fax:886-500-2186
Practice Address - Street 1:244 LOCHAVEN DR
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-7700
Practice Address - Country:US
Practice Address - Phone:267-918-6047
Practice Address - Fax:886-500-2186
Is Sole Proprietor?:No
Enumeration Date:2020-04-08
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VARBT-20-140096106S00000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician