Rekik Dawit Abebe

Individual provider Active NPI Behavior Technician · Springfield, VA

NPI 1104633254 · NPPES record last updated Dec 12, 2024

Key facts

NPI
1104633254
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
7420 Fullerton Rd Ste 110
Springfield, VA 22153-2836
Phone
(571) 463-7174
NPI assigned
Dec 12, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Ally Behavior LLC Past
since Dec 15, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X VA Yes

Addresses

Primary practice location

7420 Fullerton Rd Ste 110
Springfield, VA 22153-2836

Mailing address

7420 Fullerton Rd Ste 110
Springfield, VA 22153-2836
Phone (571) 463-7174

Other providers in Springfield, VA

All providers in Springfield, VA · Behavior Technician in Virginia

Sources for this page

Verify at the official NPI Registry.