| New Directions Aba Llc | |
|
435 Carlisle Dr Ste B Herndon VA 20170-5614 | |
| (254) 640-6438 | |
| Not Available |
| Full Name | New Directions Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 435 Carlisle Dr Ste B, Herndon, Virginia |
| Authorized Official Name and Position | Kaylynn Newton (OWNER) |
| Authorized Official Contact | 2546406438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Directions Aba Llc 427 Carlisle Dr Herndon VA 20170-5608 Ph: (254) 640-6438 | New Directions Aba Llc 435 Carlisle Dr Ste B Herndon VA 20170-5614 Ph: (254) 640-6438 |
| NPI Number | 1033681515 |
|---|---|
| Provider Enumeration Date | 12/21/2018 |
| Last Update Date | 03/02/2022 |
| Certification Date | 03/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033681515 | NPI | - | NPPES |
| 1-18-29209 | Other | BACB |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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