Organization Active NPI

Mahr Therapeutic Services, LLC

  • Behavior Analyst
  • Centreville, VA
National Provider Identifier
1629776653
Registry record updated Jan 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MAHR THERAPEUTIC SERVICES, LLC
Practice address
14069 Winding Ridge LN
Centreville, VA 20121-2687
Phone
(703) 608-7863
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2024

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

Authorized official

Name
Mahr Therapeutic Services, LLC
Title
Ceo
Phone
(703) 608-7863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

14069 Winding Ridge LN
Centreville, VA 20121-2687

Mailing address

14069 Winding Ridge LN
Centreville, VA 20121-2687

Other identifiers 1

IdentifierTypeStateIssuer
1497212930OtherVABEHAVIORAL ANALYST

National Provider Directory

National Provider Directory

Locations

1108 E Main St
Ste 906
Richmond, VA 23219
Phone (256) 417-0303

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704499200000",
    "number": "1629776653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14069 WINDING RIDGE LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14069 WINDING RIDGE LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212687",
            "telephone_number": "703-608-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHR THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2024-01-06",
        "certification_date": "2024-01-06",
        "status": "A",
        "authorized_official_last_name": "SERVICES, LLC",
        "authorized_official_first_name": "MAHR THERAPEUTIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-608-7863"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL ANALYST",
            "identifier": "1497212930",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

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