Provider Demographics
NPI:1558865360
Name:CHOICE POINT, LLC
Entity type:Organization
Organization Name:CHOICE POINT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:TULLO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA-D
Authorized Official - Phone:434-962-8119
Mailing Address - Street 1:1893 FRAYS RIDGE XING
Mailing Address - Street 2:
Mailing Address - City:EARLYSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22936-1878
Mailing Address - Country:US
Mailing Address - Phone:434-962-8119
Mailing Address - Fax:434-923-8615
Practice Address - Street 1:1893 FRAYS RIDGE XING
Practice Address - Street 2:
Practice Address - City:EARLYSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22936-1878
Practice Address - Country:US
Practice Address - Phone:434-962-8119
Practice Address - Fax:434-923-8615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-19
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000840103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty