Provider Demographics
NPI:1598083032
Name:WEBB, JANIE (MA, BCBA)
Entity Type:Individual
Prefix:MISS
First Name:JANIE
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6030 EDSALL RD
Mailing Address - Street 2:#302
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-5841
Mailing Address - Country:US
Mailing Address - Phone:571-249-4883
Mailing Address - Fax:
Practice Address - Street 1:6030 EDSALL RD
Practice Address - Street 2:#302
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-5841
Practice Address - Country:US
Practice Address - Phone:571-249-4883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-09-5127103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst