Provider Demographics
NPI:1659700565
Name:NEUROFEEDBACK CONSULTANTS
Entity Type:Organization
Organization Name:NEUROFEEDBACK CONSULTANTS
Other - Org Name:THE BETTER BRAIN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:703-684-0334
Mailing Address - Street 1:2121 EISENHOWER AVE
Mailing Address - Street 2:SUITE 604
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4698
Mailing Address - Country:US
Mailing Address - Phone:703-684-0334
Mailing Address - Fax:703-960-5934
Practice Address - Street 1:2121 EISENHOWER AVE
Practice Address - Street 2:SUITE 604
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4698
Practice Address - Country:US
Practice Address - Phone:703-684-0334
Practice Address - Fax:703-960-5934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003233101YM0800X
VA0701005388101YM0800X
DCPSY100393103T00000X
VA0803000222103TS0200X
VA09040058901041C0700X
VA09040058401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty