Provider Demographics
NPI:1972206571
Name:PIECE BY PIECE BEHAVIOR CONSULTING LLC
Entity type:Organization
Organization Name:PIECE BY PIECE BEHAVIOR CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MCCOY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:317-512-6057
Mailing Address - Street 1:1856 OLD RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-6833
Mailing Address - Country:US
Mailing Address - Phone:317-512-6057
Mailing Address - Fax:
Practice Address - Street 1:1856 OLD RIDGE RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-6833
Practice Address - Country:US
Practice Address - Phone:317-512-6057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty