Wellformed AI

NPI 1699262113 · live from the CMS NPI Registry

Katharine M Alley

Behavior Analyst in Fairfax, VA. National Provider Identifier 1699262113, active.

NPI record

NPI1699262113 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location11200 Waples Mill Rd Ste 100, Fairfax, VA 22030
Practice phone703-237-2219
Mailing address471 Northridge Rd, Ruckersville, VA 22968
EnumeratedApril 19, 2018
Last updatedOctober 27, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Technician106S00000X— (VA)
Behavior Analyst primary103K00000X1-21-53738 (VA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.