PRINCE WILLIAM COUNTY EARLY INTERVENTION PROGRAM NPI 1184823155

NPI Information

  • NPI: 1184823155
  • Provider Name: PRINCE WILLIAM COUNTY EARLY INTERVENTION PROGRAM
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Address: 7969 ASHTON AVE
    MANASSAS, VA
    ZIP 20109
  • Phone: (703) 792-7800

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NPI Details

PRINCE WILLIAM COUNTY EARLY INTERVENTION PROGRAM is a rehabilitation clinic center in Manassas, VA. PRINCE WILLIAM COUNTY EARLY INTERVENTION PROGRAM NPI is 1184823155. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7969 ASHTON AVE
MANASSAS, VA
ZIP 20109-885
Phone: (703) 792-7800
Fax: (703) 792-5699

The provider's authorized official is Lisa Madron .
The authorized official title is Executive Director and has the following contact phone number (703) 792-7800.

The enumeration date for this NPI number is 7/11/2007 and was last updated on 4/11/2025.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistNo
2261QR0400XClinic/CenterRehabilitationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1187840OTHERVIRGINIAANTHEM BLUE CROSS BLUE SH
2187835OTHERVIRGINIAANTHEM BLUE CROSS BLUE SH
3187839OTHERVIRGINIAANTHEM BLUE CROSS BLUE SH
4004978277MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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