Provider Demographics
NPI:1417138223
Name:ALTERNATIVE BEHAVIORS, LLC
Entity Type:Organization
Organization Name:ALTERNATIVE BEHAVIORS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NADYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLINA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:703-732-3418
Mailing Address - Street 1:113 ROWELL CT
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3126
Mailing Address - Country:US
Mailing Address - Phone:703-732-3418
Mailing Address - Fax:703-223-7272
Practice Address - Street 1:113 ROWELL CT
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3126
Practice Address - Country:US
Practice Address - Phone:703-732-3418
Practice Address - Fax:703-223-7272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1-07-3221OtherBACB CERTIFICATION