Behavioral Therapy and Consultation VA LLC
Organization Active NPI Early Intervention Provider Agency · Dumfries, VA
NPI 1295059418 · NPPES record last updated Mar 17, 2010
Key facts
- NPI
- 1295059418
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- License
- 1-09-6402 (VA)
- Legal business name
- BEHAVIORAL THERAPY AND CONSULTATION VA LLC
- Practice address
- 3073 Antrim Cir
Dumfries, VA 22026-3319 - Phone
- (571) 251-1859
- Fax
- (703) 441-7814
- NPI assigned
- Mar 17, 2010
- Organization subpart
- No
Authorized official
- Name
- Kelly L Eakin, BCBA
- Title
- Behavior Analyst
- Phone
- (571) 251-1859
Corporate family (same tax ID) 1
Practitioners 1
-
Kelly Lee Eakin, BCBA
National Provider Directory
- Tax ID family
- Behavioral Therapy and Consultation VA LLC
Locations
12359 Sunrise Valley Dr
Ste 220
Reston, VA 20191
Phone (301) 620-9762
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 1-09-6402 | VA | Yes |
Addresses
Primary practice location
3073 Antrim Cir
Dumfries, VA 22026-3319
Mailing address
12359 Sunrise Valley Dr
220
Reston, VA 20191-3462
Phone (571) 251-1859
Other providers in Dumfries, VA
- Francesse M Bataille
- Be Well Family Medicine and Wellness Center, PLLC
- Beacon Homehealth Care Services
- Beacon Homehealth Care Services
- Heather L. Bebout
- Girma Bekele
- Doris A Benazea
- Schylar Berry
- Deyonta Berryman
- Best Health Services PC
All providers in Dumfries, VA · Early Intervention Provider Agency in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.