Potomacaba PLLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

POTOMACABA PLLC

Doing business as

PotomacABA

Practice address

104 Woodgate CT
Sterling, VA 20164-1630

Phone

(571) 484-0821

NPI assigned

Oct 28, 2024

Organization subpart

No

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

Authorized official

Name

Roland Donat Pelletier III, BCBA, LBA IN VANPI 1205334216

Title

Owner

Phone

(571) 484-0821

Specialties & licenses 1

Addresses

Other names 1

• PotomacABA Doing business as

Practitioners 1

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

• Roland D Pelletier III

  • Behavior Analyst
  • Sterling, VA
  • NPI 1205334216
  NPD Authorized official

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1720800154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODGATE CT",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201641630",
            "telephone_number": "571-484-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WOODGATE CT",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201641630",
            "telephone_number": "571-484-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMACABA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "PELLETIER",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "DONAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-484-0821",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "BCBA, LBA IN VA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PotomacABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Premier Healthcare Firm
• Premise Health of Virginia Medical PC (Discovery Wellness Center Sterling)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.