OrganizationActive
Beam Pediatric Therapy, LLC
NPI 1295274082 · Behavior Analyst · Centreville, VA
Provider details
- NPI number
- 1295274082
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Amanda Boettcher, Executive Director/Behavior Analyst(540) 455-3107
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
14313 Brookmere Dr
Centreville, VA 20120-4106
Phone: (540) 455-3107
Fax: (844) 663-2433
Approximate (ZIP-level) locationGet directions
Mailing address
14313 Brookmere Dr
Centreville, VA 20120-4106
Registry dates
- Enumerated
- 2017-02-14
- Last updated
- 2017-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.