Organization Active NPI

Exceptional Family Member Advocates LLC

  • Behavior Analyst
  • Bristow, VA
National Provider Identifier
1013395219
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EXCEPTIONAL FAMILY MEMBER ADVOCATES LLC
Practice address
10302 Bristow Center Dr
Suite 62
Bristow, VA 20136-2201
Phone
(703) 895-1665
Fax
(703) 656-4880
NPI assigned
May 8, 2015
Last updated
May 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rebecca D Clayton, MSME, RBT
Title
Ceo, Owner
Phone
(703) 895-1665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

10302 Bristow Center Dr
Suite 62
Bristow, VA 20136-2201

Mailing address

10302 Bristow Center Dr
Suite 62
Bristow, VA 20136-2201
Phone (703) 895-1665

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1013395219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10302 BRISTOW CENTER DR",
            "address_2": "SUITE 62",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362201",
            "telephone_number": "703-895-1665",
            "fax_number": "703-656-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10302 BRISTOW CENTER DR",
            "address_2": "SUITE 62",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362201",
            "telephone_number": "703-895-1665",
            "fax_number": "703-656-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL FAMILY MEMBER ADVOCATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "703-895-1665",
        "authorized_official_credential": "MSME, RBT"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristow, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.