Provider Demographics
NPI:1598415234
Name:COMPASSION INTERNATIONAL ABA THERAPY LLC
Entity Type:Organization
Organization Name:COMPASSION INTERNATIONAL ABA THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:COMPASSION
Authorized Official - Middle Name:
Authorized Official - Last Name:INTERNATIONAL ABA THERAPY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:703-770-6080
Mailing Address - Street 1:9720 CAPITAL CT STE 108
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-2049
Mailing Address - Country:US
Mailing Address - Phone:703-770-8060
Mailing Address - Fax:703-748-2212
Practice Address - Street 1:9720 CAPITAL CT
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-2044
Practice Address - Country:US
Practice Address - Phone:703-770-8060
Practice Address - Fax:703-748-2212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-25
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty