Glow Aba Llc

LBN: Glow Aba Llc
Glow Aba Llc is an health care organization with primary practice located at 3612 Stoney Ridge Trail , Midlothian VA 23112-4534. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Glow Aba Llc can be contacted via phone (804) 536-9359, or through Stockhaus, Petra via phone (804) 464-3805.

Contact Information

Primary practice address
3612 Stoney Ridge Trail Midlothian VA 23112-4534
Phone: (804) 536-9359
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stockhaus, Petra M.ED., BCBA, LBA
Phone: (804) 464-3805

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1326660242
LBN Legal business name Glow Aba Llc
DBA Doing business as
Authorized official Stockhaus, Petra M.ED., BCBA, LBA
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2020
Last updated May 13th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326660242 NPPES
Virginia MEDICAID 1053731448

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