Provider Demographics
NPI:1518418276
Name:BANKS, HELAYNA (BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:HELAYNA
Middle Name:
Last Name:BANKS
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:972 ROCK CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-3932
Mailing Address - Country:US
Mailing Address - Phone:804-908-6093
Mailing Address - Fax:855-469-3500
Practice Address - Street 1:972 ROCK CREEK RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-3932
Practice Address - Country:US
Practice Address - Phone:804-908-6093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-18
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0-16-7385106E00000X
VA133001015103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst