SUPPORTIVE CARE ABA VA LLC NPI 1053034231

NPI Details

SUPPORTIVE CARE ABA VA LLC is a community behavioral health in Mc Lean, VA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SUPPORTIVE CARE ABA VA LLC NPI is 1053034231. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1765 GREENSBORO STATION PL
MC LEAN, VA
ZIP 22102-467
Phone: (317) 936-1240
Fax: (317) 936-1241

The provider's authorized official is Ruben Kesherim .
The authorized official title is Member and has the following contact phone number (317) 936-1240.

The enumeration date for this NPI number is 9/22/2022 and was last updated on 10/31/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: