Organization Active NPI

Behavioral Intelligence Specialists, LLC

  • Professional Counselor
  • Manassas, VA
National Provider Identifier
1225475130
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701001517 Issued in VA
Legal business name
BEHAVIORAL INTELLIGENCE SPECIALISTS, LLC
Practice address
9300 Forest Point Cir
Suite 160
Manassas, VA 20110-4765
Phone
(540) 846-5429
NPI assigned
May 31, 2013
Last updated
Jul 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Dr. Stephen Robert Band, PH.D.NPI 1518304427
Title
Owner and Sole Member
Phone
(540) 846-5429

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701001517 VA Primary
Marriage & Family Therapist 106H00000X 07170000 VA

Addresses

Primary practice location

9300 Forest Point Cir
Suite 160
Manassas, VA 20110-4765

Mailing address

12059 Bridle Post PL
Manassas, VA 20112-5515
Phone (540) 846-5429

National Provider Directory

National Provider Directory

Locations

9300 Forest Point Cir
Ste 160
Manassas, VA 20110
Phone (540) 846-5429

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1225475130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12059 BRIDLE POST PL",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201125515",
            "telephone_number": "540-846-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 FOREST POINT CIR",
            "address_2": "SUITE 160",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104765",
            "telephone_number": "540-846-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL INTELLIGENCE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "BAND",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER AND SOLE MEMBER",
        "authorized_official_telephone_number": "540-846-5429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701001517",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "07170000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.