Provider Demographics
NPI:1730737594
Name:AHA THERAPEUTIC AND BEHAVIORAL SERVICES, LLC
Entity type:Organization
Organization Name:AHA THERAPEUTIC AND BEHAVIORAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:TINSLEY
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:571-228-3435
Mailing Address - Street 1:7506 SCHAAF DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4924
Mailing Address - Country:US
Mailing Address - Phone:571-228-3435
Mailing Address - Fax:
Practice Address - Street 1:7506 SCHAAF DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4924
Practice Address - Country:US
Practice Address - Phone:571-228-3435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty