Provider Demographics
NPI:1013718451
Name:MOREA, SYDNEY (LBA)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:MOREA
Suffix:
Gender:
Credentials:LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 ARBORETUM PL STE 502
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-3473
Mailing Address - Country:US
Mailing Address - Phone:804-887-2990
Mailing Address - Fax:
Practice Address - Street 1:9200 ARBORETUM PKWY STE 120
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-5401
Practice Address - Country:US
Practice Address - Phone:804-887-2990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133004221103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst