Provider Demographics
NPI:1588049993
Name:CHILDREN FIRST ABA CLINIC
Entity type:Organization
Organization Name:CHILDREN FIRST ABA CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:MS
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HODGINS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:757-576-9311
Mailing Address - Street 1:2317 HALYARD LN
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-4045
Mailing Address - Country:US
Mailing Address - Phone:757-576-9311
Mailing Address - Fax:
Practice Address - Street 1:2317 HALYARD LN
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323-4045
Practice Address - Country:US
Practice Address - Phone:757-576-9311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty