Provider Demographics
NPI:1992393730
Name:NORTHERN VIRGINIA BEHAVIORAL CONSULTING
Entity Type:Organization
Organization Name:NORTHERN VIRGINIA BEHAVIORAL CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR CONSULTANT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:FERRER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA, LMHP
Authorized Official - Phone:310-469-2885
Mailing Address - Street 1:36 BELLS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-8423
Mailing Address - Country:US
Mailing Address - Phone:310-469-2885
Mailing Address - Fax:
Practice Address - Street 1:36 BELLS RIDGE DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-8423
Practice Address - Country:US
Practice Address - Phone:310-469-2885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty