Active NPI
Harlyn Rodriguez Polanco, M.S.,BCBA,LBA
- Behavior Analyst
- North Chesterfield, VA
National Provider Identifier
1427729243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133002030
- Practice address
- 7400 Beaufont Springs Dr Ste 300
North Chesterfield, VA 23225-5519 - Phone
- (804) 201-9082
- NPI assigned
- Sep 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0133002030 | VA | Primary |
Addresses
Primary practice location
7400 Beaufont Springs Dr Ste 300
North Chesterfield, VA 23225-5519
Mailing address
2929 Gallows Rd Ste 2a
Falls Church, VA 22042-1027
Phone (585) 435-8814
Other practice location 1
2929 Gallows Rd Ste 2A
Falls Church, VA 22042-1027
Phone (585) 435-8814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0133002030 | VA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestones ABA LLC | Behavior Analyst | Current | Accepting new patients |
| Your Life ABA VA, LLC | Behavior Analyst | Past | Accepting new patients |
| Galaxy ABA VA LLC | Behavior Analyst | Past | Accepting new patients |
Locations
2929 Gallows Rd
Ste 2A
Falls Church, VA 22042
Phone (585) 435-8814
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Falls Church, VA
- NPI 1912605528
-
- Behavior Analyst
- Virginia Beach, VA
- NPI 1922859685
-
- Behavior Analyst
- New York, NY
- NPI 1023772001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677283200000",
"number": "1427729243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 GALLOWS RD STE 2A",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220421027",
"telephone_number": "585-435-8814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 BEAUFONT SPRINGS DR STE 300",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232255519",
"telephone_number": "804-201-9082"
}
],
"practiceLocations": [
{
"address_1": "2929 Gallows Rd Ste 2A",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220421027",
"country_code": "US",
"telephone_number": "585-435-8814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ POLANCO",
"first_name": "HARLYN",
"credential": "M.S.,BCBA,LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-22",
"last_updated": "2023-02-25",
"certification_date": "2023-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133002030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.