Provider Demographics
NPI:1700943164
Name:ALL ABOUT KIDS THERAPY LLC
Entity Type:Organization
Organization Name:ALL ABOUT KIDS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BATCHELLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-378-5986
Mailing Address - Street 1:6750 STREAM VIEW LN
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20187-7264
Mailing Address - Country:US
Mailing Address - Phone:703-401-6782
Mailing Address - Fax:
Practice Address - Street 1:4257 AIKEN DR
Practice Address - Street 2:SUTIE D
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20187-3934
Practice Address - Country:US
Practice Address - Phone:703-401-6782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119002309174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA195571OtherANTHEM PROVIDER NUMBER
VA7168625OtherAETNA PROVIDER NUMBER