Classic Aba Services

LBN: Classic Aba Services
Classic Aba Services is an health care organization with primary practice located at 1964 Gallows Rd Ste 302 , Vienna VA 22182-3814. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Classic Aba Services can be contacted via phone (703) 717-2745, or through Tousi, Shohreh via phone (703) 717-2745.

Contact Information

Primary practice address
1964 Gallows Rd Ste 302 Vienna VA 22182-3814
Phone: (703) 717-2745
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tousi, Shohreh
Phone: (703) 717-2745

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1598506602
LBN Legal business name Classic Aba Services
DBA Doing business as
Authorized official Tousi, Shohreh
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2024
Last updated Jun 3rd, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598506602 NPPES
Virginia MEDICAID 1427667096

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