Improved Dynamics Aba Llc | |
1640 Boro Pl Fl 4 Mc Lean VA 22102-3627 | |
(571) 992-1600 | |
Not Available |
Full Name | Improved Dynamics Aba Llc |
---|---|
Speciality | Behavior Analyst |
Location | 1640 Boro Pl Fl 4, Mc Lean, Virginia |
Authorized Official Name and Position | Gabrielle Elizabeth Banish (OWNER) |
Authorized Official Contact | 5714644299 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Improved Dynamics Aba Llc 1640 Boro Pl Fl 4 Mc Lean VA 22102-3627 Ph: (571) 464-4234 | Improved Dynamics Aba Llc 1640 Boro Pl Fl 4 Mc Lean VA 22102-3627 Ph: (571) 992-1600 |
NPI Number | 1750051223 |
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Provider Enumeration Date | 09/16/2021 |
Last Update Date | 09/15/2022 |
Certification Date | 09/15/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750051223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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