| Beyond Behaviors, Inc. | |
|
4208 Evergreen Ln Suite #211 Annandale VA 22003-3235 | |
| (703) 658-9300 | |
| Not Available |
| Full Name | Beyond Behaviors, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4208 Evergreen Ln, Annandale, Virginia |
| Authorized Official Name and Position | Christine Michelle Macke (CEO/CFO) |
| Authorized Official Contact | 7036589300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Behaviors, Inc. 4208 Evergreen Ln Suite #211 Annandale VA 22003-3235 Ph: (703) 658-9300 | Beyond Behaviors, Inc. 4208 Evergreen Ln Suite #211 Annandale VA 22003-3235 Ph: (703) 658-9300 |
| NPI Number | 1679533459 |
|---|---|
| Provider Enumeration Date | 03/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679533459 | NPI | - | NPPES |
| 4947207 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 22705001 (Virginia) | Primary |
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