Provider Demographics
NPI:1134670680
Name:APPLIED BEHAVIORAL ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:APPLIED BEHAVIORAL ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:KUHAGEN
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:571-594-7673
Mailing Address - Street 1:6027 20TH ST N
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3403
Mailing Address - Country:US
Mailing Address - Phone:571-594-7673
Mailing Address - Fax:703-534-8070
Practice Address - Street 1:6027 20TH ST N
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3403
Practice Address - Country:US
Practice Address - Phone:571-594-7673
Practice Address - Fax:703-534-8070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-19
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701000511101YP2500X
VA0133000331103K00000X
VA0811000982103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Multi-Specialty