Provider Demographics
NPI:1922519867
Name:RIVER CITY ABA
Entity Type:Organization
Organization Name:RIVER CITY ABA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:RADER
Authorized Official - Last Name:PORPORA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:804-557-0881
Mailing Address - Street 1:3126 W CARY ST # 160
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23221-3504
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3126 W CARY ST # 160
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23221-3504
Practice Address - Country:US
Practice Address - Phone:804-557-0881
Practice Address - Fax:804-601-3479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-18
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA013000687103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty