All Star ABA VA LLC

Organization Active NPI Community/Behavioral Health Agency · Hampton, VA

NPI 1124881032 · NPPES record last updated Feb 2, 2024

Key facts

NPI
1124881032
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
ALL STAR ABA VA LLC
Practice address
4410 Claiborne SQ E Ste 334
Hampton, VA 23666-2074
Phone
(410) 541-1316
NPI assigned
Feb 2, 2024
Organization subpart
No

Authorized official

Name
Shawn Tyberg
Title
Director
Phone
(718) 600-6604

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

4410 Claiborne SQ E Ste 334
Hampton, VA 23666-2074

Mailing address

4410 Claiborne SQ E Ste 334
Hampton, VA 23666-2074

Other providers in Hampton, VA

All providers in Hampton, VA · Community/Behavioral Health Agency in Virginia

Sources for this page

Verify at the official NPI Registry.