Provider Demographics
NPI:1255138616
Name:HOPFER, LAUREL (MS, BCBA)
Entity type:Individual
Prefix:
First Name:LAUREL
Middle Name:
Last Name:HOPFER
Suffix:
Gender:
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10565 FAIRFAX BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-3104
Mailing Address - Country:US
Mailing Address - Phone:703-218-6599
Mailing Address - Fax:703-890-7176
Practice Address - Street 1:10565 FAIRFAX BLVD STE 300
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-3104
Practice Address - Country:US
Practice Address - Phone:703-218-6599
Practice Address - Fax:703-890-7176
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133004147103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst