OrganizationActive
Behavioral Therapy and Consultation Va LLC
NPI 1295059418 · Early Intervention Provider Agency · Dumfries, VA
Provider details
- NPI number
- 1295059418
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Authorized official
- Kelly Eakin, Behavior Analyst
- License
- 1-09-6402 (VA)
Practice location
3073 Antrim Cir
Dumfries, VA 22026-3319
Phone: (571) 251-1859
Fax: (703) 441-7814
Mailing address
12359 Sunrise Valley Dr
Reston, VA 20191-3462
Registry dates
- Enumerated
- 2010-03-17
- Last updated
- 2010-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.