BEAM PEDIATRIC THERAPY, LLC (NPI# 1295274082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295274082 |
| Entity Type | Organization |
| Organization Name | BEAM PEDIATRIC THERAPY, LLC |
| Practice Address |
14313 Brookmere Dr Centreville VA 20120-4106 |
| Practice Telephone | 5404553107 |
| Practice Fax Number | 8446632433 |
| Mailing Telephone | 5404553107 |
| Mailing Fax Number | 8446632433 |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |
| Authorized Official Name | MRS. AMANDA FAITH BOETTCHER (EXECUTIVE DIRECTOR/BEHAVIOR ANALYST) |
| Authorized Official Telephone | 5404553107 |
| Authorized Official Credential | M.ED., BCBA, LBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | VA | Behavioral Health & Social Service Providers |
| Street Address |
14313 BROOKMERE DR |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20120-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675477 | Happy Healthy Healing Pllc | Counselor | 5675 Stone Rd., Suite 310, Centreville, VA 20120 | 2019-05-21 |
| 1346725322 | Margo Flores Dds Pllc | Dentist | 5703 Centre Square Drive, Centreville, VA 20120 | 2018-09-26 |
| 1699274753 | Sarah Caitlin Brown | Nurse Practitioner | 5895 Trinity Pkwy Ste 100, Centreville, VA 20120 | 2018-02-05 |
| 1437687605 | Young Min Kim | Dentist | 5703 Centre Square Dr, Centreville, VA 20120 | 2017-05-31 |
| 1922349513 | Kristina Kallini | Social Worker | 13525 Leland Rd., Centreville, VA 20120 | 2013-03-07 |
| 1225209018 | About Care Obgyn Associates PC | Obstetrics & Gynecology | 6134 Redwood Square Center, Unit 101, Centreville, VA 20120 | 2008-03-19 |
| 1649486747 | Dulles Dental Group LLC | Dentist | 5103 Westfields Blvd, Centreville, VA 20120 | 2007-05-15 |
| 1356482657 | Kevin Michael Skinner | Dentist | 5651 Stone Rd, Centreville, VA 20120 | 2007-02-09 |
| 1952452856 | Jose Rodrigo Charcon | Physical Therapy Assistant | 5719 Centre Square Dr, Centreville, VA 20120 | 2007-01-16 |
| 1033122981 | Charles & Katherine Fischer Dds PC | Dentist | 5895 Trinity Parkway, Suite 200, Centreville, VA 20120 | 2006-08-14 |
| Find all providers in zip 20120 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455423 | Behavioral Expectations LLC | Behavioral Analyst | 14608 Thera Way, Centreville, VA 20120-3451 | 2020-07-24 |
| 1710538954 | Nicole Cady | Behavioral Analyst | 13819 Braddock Springs Rd Apt E, Centreville, VA 20121-4218 | 2019-09-27 |
| 1407417579 | Amanda Eliasoph | Behavioral Analyst | 14386 Flourcastle Ct, Centreville, VA 20120-3349 | 2019-06-27 |
| 1881104545 | Infinity Aba Therapy & Autism Services, LLC | Behavioral Analyst | 14186 Royal Oak Ln, Centreville, VA 20120-3604 | 2017-10-09 |
| 1134479223 | Kaitlyn Marie Taylor | Behavioral Analyst | 13988 Sawteeth Way, Centreville, VA 20121-4263 | 2012-09-15 |
| 1982971776 | Kaori Leach | Behavioral Analyst | 6327 Prince Way, Centreville, VA 20120-1850 | 2011-11-21 |
| 1801197702 | Patricia Schnabel | Behavioral Analyst | 5280 Ellicott Dr, Centreville, VA 20120-1760 | 2010-11-09 |
| 1649508516 | Kristy Lee Park | Behavioral Analyst | 13962 Sawteeth Way, Centreville, VA 20121-3032 | 2009-12-03 |
| 1538311394 | Amanda Faith Boettcher | Behavioral Analyst | 5155 Woodfield Dr, Centreville, VA 20120-4124 | 2008-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548449 | Mikhail Ignatov | Behavioral Analyst | 1600 N Beauregard St Ste 100, Alexandria, VA 22311-1732 | 2020-11-04 |
| 1588265060 | Emory Christine Bruno | Behavioral Analyst | 10487 Lakeridge Pkwy Ste 450, Ashland, VA 23005-8151 | 2020-11-03 |
| 1316547516 | Thrive Behavioral Consulting, LLC | Behavioral Analyst | 204 Reservoir Ln, Suffolk, VA 23434-4456 | 2020-10-27 |
| 1982203550 | Nick R Avila IIi | Behavioral Analyst | 372 Live Oak Ln, Galax, VA 24333-5476 | 2020-10-23 |
| 1750980199 | Rubric Behavioral and Educational Services, LLC | Behavioral Analyst | 4131 36th St S, Arlington, VA 22206-1805 | 2020-10-17 |
| 1821696113 | Songbird Health Va LLC | Behavioral Analyst | 1390 Chain Bridge Rd, Mc Lean, VA 22101-3904 | 2020-10-09 |
| 1972100212 | Aaron Nicole Turner | Behavioral Analyst | 3500 Quail Meadows Ct, Midlothian, VA 23112-4461 | 2020-10-08 |
| 1427664150 | Madimba Kayumba | Behavioral Analyst | 2651 Arlington Dr Apt 204, Alexandria, VA 22306-3626 | 2020-09-18 |
| 1023622230 | Joanne Perdu-ouimet | Behavioral Analyst | Incredible Changes, 4191 Waterway Dr., Dumfries, VA 22025 | 2020-09-04 |
| 1265044432 | Shawnita Amber Collins | Behavioral Analyst | 2700 Neabsco Common Pl Apt 242, Woodbridge, VA 22191-6779 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 20120 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.