OrganizationActive
Dominion Aba
NPI 1134594864 · Early Intervention Provider Agency · Colonial Heights, VA
Provider details
- NPI number
- 1134594864
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Matthew Wynn, Assistant Behavior Analyst(804) 484-4719
- License
- 0-15-6783 (VA)
Specialties & taxonomies
Agencies
Practice location
2903 Bouleavard
Colonial Heights, VA 23834
Phone: (804) 484-4719
Approximate (ZIP-level) locationGet directions
Mailing address
2903 Boulevard
Colonial Heights, VA 23834-2401
Registry dates
- Enumerated
- 2015-12-07
- Last updated
- 2015-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.