Provider Demographics
NPI:1831811959
Name:ANALYTICAL LYFE LLC
Entity type:Organization
Organization Name:ANALYTICAL LYFE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BCBA
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:ROY
Authorized Official - Last Name:SHUEY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:814-590-1021
Mailing Address - Street 1:141 JORDANS JOURNEY
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-1444
Mailing Address - Country:US
Mailing Address - Phone:814-590-1021
Mailing Address - Fax:757-808-5177
Practice Address - Street 1:141 JORDANS JOURNEY
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-1444
Practice Address - Country:US
Practice Address - Phone:814-590-1021
Practice Address - Fax:757-808-5177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty