Custom Learning Systems LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CUSTOM LEARNING SYSTEMS LLC

Practice address

10306 Eaton PL Ste 300
Fairfax, VA 22030-2201

Phone

(703) 348-5614

NPI assigned

Dec 3, 2020

Last updated

Dec 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cory Long

Title

Owner

Phone

(703) 348-5614

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1447855630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10306 EATON PL STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302201",
            "telephone_number": "703-348-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10306 EATON PL STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302201",
            "telephone_number": "703-348-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM LEARNING SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-348-5614"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://nvic.intakeq.com/portal",
            "affiliation": "N",
            "endpointDescription": "Secure Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Message",
            "address_1": "10306 Eaton Pl Ste 300",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220302201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shairna Kristene Curtis-Romonchuk, FNP
• Amanda Curtis
• Kathleen Margaret Curtis, M.D.
• Lucy Holden Cusack, RN, IBCLC
• Jacquelyn Marie Custer, BSW
• Janine Cutinho
• Lorna Lynn Cvetkovich, M.D.
• Frank E Czwalga, RPH
• Kaitlyn D'Andrea
• Sarah D'Elia

• 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 Dec 3, 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.