NPI 1003583873
Nest Life Virginia, LLC
Practice location
- Address
- 5951 Dugout Ter, Mechanicsville, VA 23111-4570
- Phone
- (727) 201-2389
- Fax
- (855) 224-4326
- Mailing address
- 360 Central Ave STE 800, St Petersburg, FL 33701-3984
Authorised official
- Name
- Jennifer Phelps
- Title
- Ceo/Co-Founder
- Phone
- (727) 201-2389
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1003583873
- Entity type
- Organization
- NPI issued
- 27 Aug 2021
- Record last updated
- 27 Jul 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.