Nick R Avila III – Behavior Analyst in Galax, VA

Key facts

NPI: 1982203550
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Analyst 103K00000X
Practice address: 372 Live Oak LN
Galax, VA 24333-5476
Phone: (276) 238-7100
Fax: (276) 238-0024
NPI assigned: Oct 23, 2020
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Avila Residential Services, Inc. Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Galax, VA · NPI 1174249254

NPD BEHAVIOR ANALYST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Avila Residential Services, Inc.	Behavior Analyst	Current since Oct 23, 2022	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Analyst	103K00000X			Yes

Addresses

Primary practice location

372 Live Oak LN
Galax, VA 24333-5476

Mailing address

372 Live Oak LN
Galax, VA 24333-5476
Phone (276) 238-7100

Other providers in Galax, VA

All providers in Galax, VA · Behavior Analyst in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.