Ansly Ivania Chavarria

Individual provider Active NPI Assistant Behavior Analyst · Manassas Park, VA

NPI 1982445003 · NPPES record last updated Jun 3, 2024

Key facts

NPI
1982445003
Entity type
Individual (NPI type 1)
Primary specialty
Assistant Behavior Analyst 106E00000X
Practice address
9300 S Whitt Dr
Manassas Park, VA 20111-2466
Phone
(571) 572-5771
NPI assigned
Jun 3, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X Yes

Addresses

Primary practice location

9300 S Whitt Dr
Manassas Park, VA 20111-2466

Mailing address

9300 S Whitt Dr
Manassas Park, VA 20111-2466
Phone (571) 572-5771

Other providers in Manassas Park, VA

All providers in Manassas Park, VA · Assistant Behavior Analyst in Virginia

Sources for this page

Verify at the official NPI Registry.