Provider Demographics
NPI:1255716650
Name:NEW HOPE BEHAVIOR ANLAYSIS
Entity type:Organization
Organization Name:NEW HOPE BEHAVIOR ANLAYSIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA, LBA
Authorized Official - Phone:571-305-3831
Mailing Address - Street 1:10200 NI RIVER DR
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22553-3741
Mailing Address - Country:US
Mailing Address - Phone:540-693-0830
Mailing Address - Fax:540-301-2131
Practice Address - Street 1:10200 NI RIVER DR
Practice Address - Street 2:
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22553-3741
Practice Address - Country:US
Practice Address - Phone:540-693-0830
Practice Address - Fax:540-301-2131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01330000254251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health