Classic ABA Services

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CLASSIC ABA SERVICES

Doing business as

Classic ABA Services

Practice address

1964 Gallows Rd Ste 302
Vienna, VA 22182-3814

Phone

(703) 717-2745

NPI assigned

Jun 3, 2024

Last updated

Jun 3, 2024By 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

Shohreh Tousi

Title

Owner/Director

Phone

(703) 717-2745

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Classic ABA Services Doing business as

Tax ID family

Classic ABA Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Classic ABA Services

  • Behavior Analyst
  • Falls Church, VA
  • NPI 1427667096
  NPD tax ID

Locations

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1598506602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1964 GALLOWS RD STE 302",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823814",
            "telephone_number": "703-717-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 GALLOWS RD STE 302",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823814",
            "telephone_number": "703-717-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC ABA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "TOUSI",
        "authorized_official_first_name": "SHOHREH",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "703-717-2745"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427667096",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Classic ABA Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kate Krizan Clark, MSW
• Katie Fite Clark, MA, NCC, LPC
• William Walter Clark, PHD
• Gilda T. Clarke, MS
• Maliah Clarke
• Robert A Claybrook, DDS
• Shelby Clegg
• Michael Avery Clemens
• Kiersten Coates
• Katherine Coffron

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.