| Pivotal Behavior Inc. | |
|
11046 Stuart Mill Rd Oakton VA 22124-1013 | |
| (540) 680-8275 | |
| Not Available |
| Full Name | Pivotal Behavior Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11046 Stuart Mill Rd, Oakton, Virginia |
| Authorized Official Name and Position | Emma L Malmgren (PRESIDENT) |
| Authorized Official Contact | 5406808275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Behavior Inc. 11046 Stuart Mill Rd Oakton VA 22124-1013 Ph: (540) 680-8275 | Pivotal Behavior Inc. 11046 Stuart Mill Rd Oakton VA 22124-1013 Ph: (540) 680-8275 |
| NPI Number | 1336748961 |
|---|---|
| Provider Enumeration Date | 10/24/2020 |
| Last Update Date | 10/24/2020 |
| Certification Date | 10/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336748961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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