Provider Demographics
NPI:1578679734
Name:BARBIN, JANE (PHD, BCBA)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:
Last Name:BARBIN
Suffix:
Gender:F
Credentials:PHD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46090 LAKE CENTER PLZ STE 101
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-5877
Mailing Address - Country:US
Mailing Address - Phone:703-855-4032
Mailing Address - Fax:
Practice Address - Street 1:46090 LAKE CENTER PLZ STE 101
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-5877
Practice Address - Country:US
Practice Address - Phone:703-855-4032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810003012103TC0700X
VA0133000218103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical