NPI 1124796842 · live from the CMS NPI Registry
Adaptable Behavioral Change
Community/Behavioral Health in Alexandria, VA. National Provider Identifier 1124796842, active.
NPI record
| NPI | 1124796842 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Community/Behavioral Health 251S00000X |
| Practice location | 4501 Ford Ave Apt 1412, Alexandria, VA 22302 |
| Practice phone | 609-372-7114 |
| Enumerated | August 30, 2021 |
| Last updated | August 30, 2021 |
| Authorized official | Jennifer Lamothe, Behavior Analyst |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Community/Behavioral Health primary | 251S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.