| Behavioral Therapy & Consultation | |
|
11350 Random Hills Rd Ste 240 Fairfax VA 22030-6044 | |
| (703) 537-0700 | |
| (703) 537-0688 |
| Full Name | Behavioral Therapy & Consultation |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11350 Random Hills Rd Ste 240, Fairfax, Virginia |
| Authorized Official Name and Position | Kelly Eakin (DIRECTOR) |
| Authorized Official Contact | 7035370700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Therapy & Consultation 11350 Random Hills Rd Ste 240 Fairfax VA 22030-6044 Ph: () - | Behavioral Therapy & Consultation 11350 Random Hills Rd Ste 240 Fairfax VA 22030-6044 Ph: (703) 537-0700 |
| NPI Number | 1508165184 |
|---|---|
| Provider Enumeration Date | 03/22/2011 |
| Last Update Date | 03/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508165184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1084254 (Virginia) | Primary |
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