Positive Behavioral Dynamics, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0811000970 Issued in VA

Legal business name

POSITIVE BEHAVIORAL DYNAMICS, LLC

Practice address

150 Little Falls St
Suite 101
Falls Church, VA 22046-4315

Phone

(703) 533-3856

Fax

(703) 533-3857

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin C. Mauro, PHD

Title

Director of Consultative Services

Phone

(703) 533-3856

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245245604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LITTLE FALLS ST",
            "address_2": "SUITE 101",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464315",
            "telephone_number": "703-533-3856",
            "fax_number": "703-533-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LITTLE FALLS ST",
            "address_2": "SUITE 101",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464315",
            "telephone_number": "703-533-3856",
            "fax_number": "703-533-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE BEHAVIORAL DYNAMICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAURO",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DIRECTOR OF CONSULTATIVE SERVICES",
        "authorized_official_telephone_number": "703-533-3856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0811000970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Portella, SA-C
• Amy Porter, M.D.
• Maureen Lyden Porter, PH.D
• Lisa Ann Porto Noto, MSW, LCSW, LCSW-C
• Laura C Posey, FNP
• Heidi Ficken Posson, NCC
• Meghan Ann Potemra, PHARMD
• Madhuri Pothireddy, MD
• Potomac Medical Center PC
• Potomac Medical Center PC

• Psychologist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.