Provider Demographics
NPI:1245936384
Name:LOFTIS, ELIZABETH FAYE (BCBA, LBA)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:FAYE
Last Name:LOFTIS
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 SUNSET OAK LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE COURT HOUSE
Mailing Address - State:VA
Mailing Address - Zip Code:23923-3793
Mailing Address - Country:US
Mailing Address - Phone:434-738-3598
Mailing Address - Fax:
Practice Address - Street 1:285 SUNSET OAK LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE COURT HOUSE
Practice Address - State:VA
Practice Address - Zip Code:23923-3793
Practice Address - Country:US
Practice Address - Phone:434-738-3598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133002578103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst