| Behavioral Intelligence Specialists, Llc | |
|
9300 Forest Point Cir Suite 160 Manassas VA 20110-4765 | |
| (540) 846-5429 | |
| Not Available |
| Full Name | Behavioral Intelligence Specialists, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9300 Forest Point Cir, Manassas, Virginia |
| Authorized Official Name and Position | Stephen Robert Band (OWNER AND SOLE MEMBER) |
| Authorized Official Contact | 5408465429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Intelligence Specialists, Llc 12059 Bridle Post Pl Manassas VA 20112-5515 Ph: (540) 846-5429 | Behavioral Intelligence Specialists, Llc 9300 Forest Point Cir Suite 160 Manassas VA 20110-4765 Ph: (540) 846-5429 |
| NPI Number | 1225475130 |
|---|---|
| Provider Enumeration Date | 05/31/2013 |
| Last Update Date | 07/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225475130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701001517 (Virginia) | Primary |
| 106H00000X | Marriage & Family Therapist | 07170000 (Virginia) | Secondary |
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