Provider Demographics
NPI:1679082200
Name:POSITIVE REINFORCEMENT PLLC
Entity Type:Organization
Organization Name:POSITIVE REINFORCEMENT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA, CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:HAMBRICK
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA, LBA
Authorized Official - Phone:703-576-5700
Mailing Address - Street 1:19970 ST LOUIS RD
Mailing Address - Street 2:
Mailing Address - City:PURCELLVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20132-4921
Mailing Address - Country:US
Mailing Address - Phone:703-576-5700
Mailing Address - Fax:571-919-6755
Practice Address - Street 1:19970 ST LOUIS RD
Practice Address - Street 2:
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132-4921
Practice Address - Country:US
Practice Address - Phone:703-576-5700
Practice Address - Fax:571-919-6755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000502103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty