Provider Demographics
NPI:1083957286
Name:DODINI & ASSOCIATES: BEHAVIORAL HEALTH PARTNERS
Entity Type:Organization
Organization Name:DODINI & ASSOCIATES: BEHAVIORAL HEALTH PARTNERS
Other - Org Name:DODINI BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:DODINI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:703-909-5101
Mailing Address - Street 1:1501 LEE HWY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22209-1047
Mailing Address - Country:US
Mailing Address - Phone:703-909-5101
Mailing Address - Fax:703-348-4790
Practice Address - Street 1:1501 LEE HWY
Practice Address - Street 2:SUITE 110
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22209-1047
Practice Address - Country:US
Practice Address - Phone:703-909-5101
Practice Address - Fax:703-348-4790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
0810004031103TC0700X
0717001058106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty