Provider Demographics
NPI:1558885459
Name:BILINGUAL BEHAVIORAL SERVICES LLC
Entity Type:Organization
Organization Name:BILINGUAL BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AYMARA
Authorized Official - Middle Name:CELIA
Authorized Official - Last Name:MATOS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA, LBA
Authorized Official - Phone:703-867-7431
Mailing Address - Street 1:5426 RICHENBACHER AVE APT 100
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-2080
Mailing Address - Country:US
Mailing Address - Phone:703-867-7431
Mailing Address - Fax:
Practice Address - Street 1:5426 RICHENBACHER AVE APT 100
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-2080
Practice Address - Country:US
Practice Address - Phone:703-867-7431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-01
Last Update Date:2017-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty