Provider Demographics
NPI:1982235990
Name:HENDON, FAITH CHRISTIANE (MS, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:CHRISTIANE
Last Name:HENDON
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 AVEMORE SQUARE PL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-7228
Mailing Address - Country:US
Mailing Address - Phone:540-273-4788
Mailing Address - Fax:571-359-6784
Practice Address - Street 1:305 HARRISON ST SE STE 1A
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-3729
Practice Address - Country:US
Practice Address - Phone:540-273-4788
Practice Address - Fax:571-359-6784
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-29
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133001617103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty