NPI 1396609889 · live from the CMS NPI Registry
Atlantic Behavioral Specialists LLC
Psychologist, Clinical in Fairfax, VA. National Provider Identifier 1396609889, active.
NPI record
| NPI | 1396609889 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 3610 W Ox Rd Ste 1a, Fairfax, VA 22033 |
| Practice phone | 443-818-2733 |
| Enumerated | December 10, 2025 |
| Last updated | December 10, 2025 |
| Authorized official | Charles Dadoo, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.