| NPI | 1194996280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY B FASCHING Credentialing Manager 540-456-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106E00000X Assistant Behavior Analyst | |
| 101YP2500X Counselor, Professional | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2026-04-23 |