NPI 1225475130 · live from the CMS NPI Registry
Behavioral Intelligence Specialists, LLC
Counselor, Professional in Manassas, VA. National Provider Identifier 1225475130, active.
NPI record
| NPI | 1225475130 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 9300 Forest Point Cir, Suite 160, Manassas, VA 20110 |
| Practice phone | 540-846-5429 |
| Mailing address | 12059 Bridle Post Pl, Manassas, VA 20112 |
| Enumerated | May 31, 2013 |
| Last updated | July 31, 2014 |
| Authorized official | Stephen Band, Owner And Sole Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 07170000 (VA) |
| Counselor, Professional primary | 101YP2500X | 0701001517 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.