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Organization Active NPI

Learn Behavior Consultation Services

  • Behavior Analyst
  • Woodbridge, VA
National Provider Identifier
1154699890
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-07-3365 Issued in VA
Legal business name
LEARN BEHAVIOR CONSULTATION SERVICES
Practice address
3414 Flint Hill PL
Woodbridge, VA 22192
Phone
(724) 448-9653
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Mrs. Kerry Anne Dillman, B.C.B.A.
Title
President, Ceo
Phone
(724) 448-9653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-07-3365 VA Primary

Addresses

Primary practice location

3414 Flint Hill PL
Woodbridge, VA 22192

Mailing address

3414 Flint Hill PL
Woodbridge, VA 22192-1011
Phone (724) 448-9653

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1154699890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 FLINT HILL PL",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221921011",
            "telephone_number": "724-448-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 FLINT HILL PL",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192",
            "telephone_number": "724-448-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEARN BEHAVIOR CONSULTATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "DILLMAN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "724-448-9653",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.C.B.A."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-07-3365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.