Avery Allen, BCBA, LBA

Individual provider Active NPI Behavior Analyst · Alexandria, VA

NPI 1275947947 · NPPES record last updated Nov 4, 2024

Key facts

NPI
1275947947
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-18-32167
Practice address
6400 Grovedale Dr Ste 200
Alexandria, VA 22310-2504
Phone
(603) 801-0575
NPI assigned
Jun 20, 2014
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
Crescent Counseling Center Behavior Analyst Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-32167 Yes

Addresses

Primary practice location

6400 Grovedale Dr Ste 200
Alexandria, VA 22310-2504

Mailing address

6400 Grovedale Dr Ste 200
Alexandria, VA 22310-2504
Phone (603) 801-0575

Other providers in Alexandria, VA

All providers in Alexandria, VA · Behavior Analyst in Virginia

Sources for this page

Verify at the official NPI Registry.