Provider Demographics
NPI:1902682800
Name:GEORGIA A. HALL BEHAVIOR CONSULTING SERVICES, LLC
Entity Type:Organization
Organization Name:GEORGIA A. HALL BEHAVIOR CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:GEORGIA
Authorized Official - Middle Name:ABIGAIL
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:804-580-0783
Mailing Address - Street 1:840 FALLIN TOWN RD
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:VA
Mailing Address - Zip Code:22572-3325
Mailing Address - Country:US
Mailing Address - Phone:804-580-0783
Mailing Address - Fax:
Practice Address - Street 1:840 FALLIN TOWN RD
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:VA
Practice Address - Zip Code:22572-3325
Practice Address - Country:US
Practice Address - Phone:804-580-0783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty