Provider Demographics
NPI:1700520996
Name:BILLINGSLEY, ALANA (MS, RBT)
Entity Type:Individual
Prefix:MS
First Name:ALANA
Middle Name:
Last Name:BILLINGSLEY
Suffix:
Gender:F
Credentials:MS, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16010 CREST DR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-4213
Mailing Address - Country:US
Mailing Address - Phone:240-501-7892
Mailing Address - Fax:
Practice Address - Street 1:16010 CREST DR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-4213
Practice Address - Country:US
Practice Address - Phone:240-501-7892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-24
Last Update Date:2022-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VARBT-21-185970106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician