Provider Demographics
NPI:1316547516
Name:THRIVE BEHAVIORAL CONSULTING, LLC
Entity type:Organization
Organization Name:THRIVE BEHAVIORAL CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOINS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:540-903-5605
Mailing Address - Street 1:204 RESERVOIR LN
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-4456
Mailing Address - Country:US
Mailing Address - Phone:540-903-5605
Mailing Address - Fax:888-410-1140
Practice Address - Street 1:204 RESERVOIR LN
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-4456
Practice Address - Country:US
Practice Address - Phone:540-903-5605
Practice Address - Fax:888-410-1140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty