Provider Demographics
NPI:1033824651
Name:TRANSCEND BEHAVIORAL CONSULTING
Entity Type:Organization
Organization Name:TRANSCEND BEHAVIORAL CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:QUINTA
Authorized Official - Middle Name:
Authorized Official - Last Name:EMEFELE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:703-598-7099
Mailing Address - Street 1:279 KIRBY ST
Mailing Address - Street 2:
Mailing Address - City:MANASSAS PARK
Mailing Address - State:VA
Mailing Address - Zip Code:20111-3401
Mailing Address - Country:US
Mailing Address - Phone:703-598-7099
Mailing Address - Fax:
Practice Address - Street 1:279 KIRBY ST
Practice Address - Street 2:
Practice Address - City:MANASSAS PARK
Practice Address - State:VA
Practice Address - Zip Code:20111-3401
Practice Address - Country:US
Practice Address - Phone:703-598-7099
Practice Address - Fax:703-988-6909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA30017518600001Medicaid