| Council Rock Consulting Inc. | |
|
483 N Armistead St #103 Alexandria VA 22312-2819 | |
| (617) 733-4972 | |
| (301) 881-7403 |
| Full Name | Council Rock Consulting Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 483 N Armistead St, Alexandria, Virginia |
| Authorized Official Name and Position | Amanda S Mehlenbacher (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3018817563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Council Rock Consulting Inc. 11821 Parklawn Dr Ste 210 North Bethesda MD 20852-2539 Ph: (301) 881-7563 | Council Rock Consulting Inc. 483 N Armistead St #103 Alexandria VA 22312-2819 Ph: (617) 733-4972 |
| NPI Number | 1194136739 |
|---|---|
| Provider Enumeration Date | 05/16/2014 |
| Last Update Date | 05/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194136739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 0133000183 (Virginia) | Primary |
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