Provider Demographics
NPI:1306263116
Name:HIO, TERESA MARIA (LBA, BCBA)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:MARIA
Last Name:HIO
Suffix:
Gender:F
Credentials:LBA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 HAMPTON BLVD
Mailing Address - Street 2:APT 212
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-1769
Mailing Address - Country:US
Mailing Address - Phone:757-625-7768
Mailing Address - Fax:
Practice Address - Street 1:1301 HAMPTON BLVD
Practice Address - Street 2:APT 212
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1769
Practice Address - Country:US
Practice Address - Phone:757-625-7768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-19
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000379103K00000X
VA2202007611235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist