Provider Demographics
NPI:1467857938
Name:LAM, BESS (BCBA)
Entity Type:Individual
Prefix:
First Name:BESS
Middle Name:
Last Name:LAM
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 1:4312 HOLLOWSTONE CT
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-2535
Mailing Address - Country:US
Mailing Address - Phone:703-622-3860
Mailing Address - Fax:
Practice Address - Street 1:4312 HOLLOWSTONE CT
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-2535
Practice Address - Country:US
Practice Address - Phone:703-622-3860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst