Provider Demographics
NPI:1497431795
Name:PEKALA, MARGARET (MS, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:PEKALA
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:PEKALA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, BCBA, LBA
Mailing Address - Street 1:2122 GREEN WATCH WAY UNIT 201
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-2428
Mailing Address - Country:US
Mailing Address - Phone:610-787-9529
Mailing Address - Fax:
Practice Address - Street 1:240 WESTWOOD RD
Practice Address - Street 2:
Practice Address - City:BERRYVILLE
Practice Address - State:VA
Practice Address - Zip Code:22611-3512
Practice Address - Country:US
Practice Address - Phone:540-955-6110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-22
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133003019103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst