NPIMap

Organization Active NPI

Acts for Behavioral Change, LLC

  • Behavior Analyst
  • Ashburn, VA
National Provider Identifier
1285907576
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1095594
Legal business name
ACTS FOR BEHAVIORAL CHANGE, LLC
Practice address
43863 Amity PL
Ashburn, VA 20147-3801
Phone
(703) 729-5710
Fax
(703) 729-5710
NPI assigned
Feb 16, 2012
Last updated
Feb 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Mrs. Diana M Coffman, BCBANPI 1437481660
Title
Owner/Manager
Phone
(703) 729-5710

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1095594 Primary

Addresses

Primary practice location

43863 Amity PL
Ashburn, VA 20147-3801

Mailing address

43863 Amity PL
Ashburn, VA 20147-3801
Phone (703) 729-5710

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1285907576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43863 AMITY PL",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473801",
            "telephone_number": "703-729-5710",
            "fax_number": "703-729-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43863 AMITY PL",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473801",
            "telephone_number": "703-729-5710",
            "fax_number": "703-729-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTS FOR BEHAVIORAL CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "703-729-5710",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1095594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.