Provider Demographics
NPI:1205343704
Name:APEX APPLIED BEHAVIOR SOLUTIONS, LLC
Entity type:Organization
Organization Name:APEX APPLIED BEHAVIOR SOLUTIONS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:SOERGEL
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:703-853-5925
Mailing Address - Street 1:8278 VERNON ST
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-4414
Mailing Address - Country:US
Mailing Address - Phone:703-853-5925
Mailing Address - Fax:
Practice Address - Street 1:8278 VERNON ST
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-4414
Practice Address - Country:US
Practice Address - Phone:703-853-5925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-05
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000270103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty