Provider Demographics
NPI:1356236673
Name:PAPAGEORGE, DAPHNE (BCBA)
Entity type:Individual
Prefix:MS
First Name:DAPHNE
Middle Name:
Last Name:PAPAGEORGE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21029 STARFLOWER WAY
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-4701
Mailing Address - Country:US
Mailing Address - Phone:540-729-3059
Mailing Address - Fax:
Practice Address - Street 1:14101 CAPITAL BLVD STE 123
Practice Address - Street 2:
Practice Address - City:YOUNGSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27596-7854
Practice Address - Country:US
Practice Address - Phone:919-213-1233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133001783103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty