| Northern Virginia Applied Behavior Analysis, L.l.c. | |
|
1984 Issac Newton Square West Suite 204 Reston VA 20190 | |
| (703) 987-8928 | |
| (703) 454-0971 |
| Full Name | Northern Virginia Applied Behavior Analysis, L.l.c. |
|---|---|
| Speciality | Counselor |
| Location | 1984 Issac Newton Square West, Reston, Virginia |
| Authorized Official Name and Position | Theodore Andrew Hoch (LICENSED BEHAVIOR ANALYST, LICENSED) |
| Authorized Official Contact | 7039878928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Virginia Applied Behavior Analysis, L.l.c. 2528 Paxton Street Woodbridge VA 22192 Ph: (703) 987-8928 | Northern Virginia Applied Behavior Analysis, L.l.c. 1984 Issac Newton Square West Suite 204 Reston VA 20190 Ph: (703) 987-8928 |
| NPI Number | 1205483260 |
|---|---|
| Provider Enumeration Date | 08/23/2019 |
| Last Update Date | 08/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205483260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
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