| Adaptable Behavioral Change | |
|
4501 Ford Ave Apt 1412 Alexandria VA 22302-1568 | |
| (609) 372-7114 | |
| Not Available |
| Full Name | Adaptable Behavioral Change |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4501 Ford Ave Apt 1412, Alexandria, Virginia |
| Authorized Official Name and Position | Jennifer Lamothe (BEHAVIOR ANALYST) |
| Authorized Official Contact | 6093727114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adaptable Behavioral Change 4501 Ford Ave Apt 1412 Alexandria VA 22302-1568 Ph: (609) 372-7114 | Adaptable Behavioral Change 4501 Ford Ave Apt 1412 Alexandria VA 22302-1568 Ph: (609) 372-7114 |
| NPI Number | 1124796842 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 08/30/2021 |
| Certification Date | 08/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124796842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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