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1023772001
YOUR LIFE ABA VA, LLC
ROANOKE, VA
NPI
1023772001
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Entity Type
Organization
Authorized Contact
MARK A YOST
General Counsel
718-215-5311
Organization Subpart ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2021-10-26
Last Update Date
2024-09-05
Business Address
YOUR LIFE ABA VA, LLC
1314 RIVERLAND RD SE
ROANOKE, VA 24014-3610
Phone number: 866-565-7222
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Mailing Address
YOUR LIFE ABA VA, LLC
77 WATER ST STE 1602
NEW YORK, NY 10005-4432
Phone number: 718-215-5311
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