Magnolia Grove Behavioral Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MAGNOLIA GROVE BEHAVIORAL SERVICES LLC

Practice address

3028 Southern Elm CT
Fairfax, VA 22031-1101

Phone

(610) 888-4484

NPI assigned

Sep 21, 2026

Organization subpart

No

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

Authorized official

Name

Chelsia Lai Wong

Title

Bcba

Phone

(610) 888-4484

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1346152535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 SOUTHERN ELM CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311101",
            "telephone_number": "610-888-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 SOUTHERN ELM CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311101",
            "telephone_number": "610-888-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA GROVE BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "CHELSIA",
        "authorized_official_middle_name": "LAI",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "610-888-4484"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Magagnoli
• Alexandra Kathleen Magee, DNP, FNP-BC
• Kristin Dermody Maggi, PA-C
• Michele Zerah Magnino, MD
• Magnolia Educational Services
• Alka Mahajan, DMD
• Sajan T Mahajan, MD
• Kathleen Mahan
• Farshid Mahboubirad
• Brian A Mahler, D.D.S.

• Behavior Analyst in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.