NPIMap

Organization Active NPI

Pivotal Behavior Inc.

  • Community/Behavioral Health Agency
  • Oakton, VA
National Provider Identifier
1336748961
Registry record updated Oct 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PIVOTAL BEHAVIOR INC.
Practice address
11046 Stuart Mill Rd
Oakton, VA 22124-1013
Phone
(540) 680-8275
NPI assigned
Oct 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2020

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

Authorized official

Name
Emma L Malmgren, M.ED, BCBA, LBANPI 1528581758
Title
President
Phone
(540) 680-8275

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

11046 Stuart Mill Rd
Oakton, VA 22124-1013

Mailing address

11046 Stuart Mill Rd
Oakton, VA 22124-1013
Phone (540) 680-8275

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603497600000",
    "number": "1336748961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11046 STUART MILL RD",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241013",
            "telephone_number": "540-680-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11046 STUART MILL RD",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241013",
            "telephone_number": "540-680-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOTAL BEHAVIOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-24",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A",
        "authorized_official_last_name": "MALMGREN",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-680-8275",
        "authorized_official_credential": "M.ED, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.