Under 1 Roof LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

UNDER 1 ROOF LLC

Practice address

4301 Stretton Farm CT
Woodbridge, VA 22192-5564

Phone

(404) 625-6294

NPI assigned

May 6, 2024

Organization subpart

No

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

Authorized official

Name

Walter Miller

Title

Behavior Consultant

Phone

(404) 625-6294

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1376390435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4339 RIDGEWOOD CENTER DR # 1071",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925308",
            "telephone_number": "404-625-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 STRETTON FARM CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925564",
            "telephone_number": "404-625-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDER 1 ROOF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "BEHAVIOR CONSULTANT",
        "authorized_official_telephone_number": "404-625-6294"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Woodbridge, VA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.