Provider Demographics
NPI:1801265111
Name:CONNECTIONS 2 ABA, LLC
Entity type:Organization
Organization Name:CONNECTIONS 2 ABA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL ANALYST
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:DALTON
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:434-509-0208
Mailing Address - Street 1:2486 RIVERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24503-1549
Mailing Address - Country:US
Mailing Address - Phone:434-509-0208
Mailing Address - Fax:434-528-1257
Practice Address - Street 1:2486 RIVERMONT AVE
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24503-1549
Practice Address - Country:US
Practice Address - Phone:434-509-0208
Practice Address - Fax:434-528-1257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000656103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty