Provider Demographics
NPI:1831607761
Name:MAJANO, JOAN PAOLA RODRIGUEZ (MED, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:JOAN PAOLA
Middle Name:RODRIGUEZ
Last Name:MAJANO
Suffix:
Gender:F
Credentials:MED, BCBA, LBA
Other - Prefix:
Other - First Name:JOAN PAOLA
Other - Middle Name:NACA
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, BCBA, LBA
Mailing Address - Street 1:19 LUDWELL CT
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-5733
Mailing Address - Country:US
Mailing Address - Phone:703-989-7758
Mailing Address - Fax:
Practice Address - Street 1:1110 HERNDON PKWY STE 305
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-5547
Practice Address - Country:US
Practice Address - Phone:703-943-6560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-12
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1-20-42595103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1831607761Medicaid