Innovative Behavior Treatment Centers | |
6800 Versar Center Drive, Suite 402b Springfield VA 22151 | |
(703) 914-0466 | |
(703) 914-0498 |
Full Name | Innovative Behavior Treatment Centers |
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Speciality | Counselor - Mental Health |
Location | 6800 Versar Center Drive, Suite 402b, Springfield, Virginia |
Authorized Official Name and Position | Daniel Ofei (DIRECTOR) |
Authorized Official Contact | 7039140466 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Innovative Behavior Treatment Centers 6800 Versar Center Drive, Suite 402b Springfield VA 22151 Ph: (703) 914-0466 | Innovative Behavior Treatment Centers 6800 Versar Center Drive, Suite 402b Springfield VA 22151 Ph: (703) 914-0466 |
NPI Number | 1558456962 |
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Provider Enumeration Date | 10/03/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1558456962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 547 (Virginia) | Primary |
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