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1902570443
PROVIDENCE COMMUNITY ABA
STAFFORD, VA
NPI
1902570443
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Entity Type
Organization
Authorized Contact
BRIDGET L NKEMATABONG
Manager
253-722-9152
Organization Subpart ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2021-08-08
Last Update Date
2024-01-23
Business Address
PROVIDENCE COMMUNITY ABA
22 KASSY LN
STAFFORD, VA 22556-6577
Phone number: 253-722-9152
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Mailing Address
PROVIDENCE COMMUNITY ABA
5614 JOSHUA TREE CIR
FREDERICKSBURG, VA 22407-9341
Phone number:
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