| Acts For Behavioral Change, Llc | |
|
43863 Amity Pl Ashburn VA 20147-3801 | |
| (703) 729-5710 | |
| (703) 729-5710 |
| Full Name | Acts For Behavioral Change, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 43863 Amity Pl, Ashburn, Virginia |
| Authorized Official Name and Position | Diana M Coffman (OWNER/MANAGER) |
| Authorized Official Contact | 7037295710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acts For Behavioral Change, Llc 43863 Amity Pl Ashburn VA 20147-3801 Ph: (703) 729-5710 | Acts For Behavioral Change, Llc 43863 Amity Pl Ashburn VA 20147-3801 Ph: (703) 729-5710 |
| NPI Number | 1285907576 |
|---|---|
| Provider Enumeration Date | 02/16/2012 |
| Last Update Date | 02/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285907576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1095594 (* (Not Available)) | Primary |
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