Provider Demographics
NPI:1073888335
Name:OPTIMAL BEGINNINGS, LLC
Entity Type:Organization
Organization Name:OPTIMAL BEGINNINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:VISALLI-GOLD
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA-D, PHD
Authorized Official - Phone:301-718-1716
Mailing Address - Street 1:5272 RIVER RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20816-1405
Mailing Address - Country:US
Mailing Address - Phone:301-718-1716
Mailing Address - Fax:301-718-1766
Practice Address - Street 1:5272 RIVER RD
Practice Address - Street 2:SUITE 300
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20816-1405
Practice Address - Country:US
Practice Address - Phone:301-718-1716
Practice Address - Fax:301-718-1766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-19
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1-06-3014103K00000X
MD1-12-10359103K00000X
GA1-11-8018103K00000X
DC1107456103K00000X
1096383103K00000X
VA11314065103K00000X
MD0145875103K00000X
MD0146026103K00000X
NY1062969103K00000X
MD1073745103K00000X
MD179431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty