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PROVIDENCE COMMUNITY ABA NPI 1902570443


NPI Information

NPI: 1902570443
Provider Name: PROVIDENCE COMMUNITY ABA
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
22 KASSY LN
STAFFORD, VA
ZIP 22556
Phone: (253) 722-9152
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PROVIDENCE COMMUNITY ABA is a behavior analyst in Stafford, VA. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. PROVIDENCE COMMUNITY ABA NPI is 1902570443. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

22 KASSY LN
STAFFORD, VA
ZIP 22556-577
Phone: (253) 722-9152

The provider's authorized official is Bridget L Nkematabong .
The authorized official title is Manager and has the following contact phone number (253) 722-9152.

The enumeration date for this NPI number is 8/8/2021 and was last updated on 1/23/2024.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103K00000XBehavior AnalystYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.