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NPI Code Detail

MEDICARE: ALLY BEHAVIOR LLC

MEDICARE: ALLY BEHAVIOR LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2225X00000XOccupational Therapist

General Provider Information

NPI Number : 1558169276
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLY BEHAVIOR LLC
Provider Business Mailing Address
First Line : 1410 SPRING HILL RD STE 305
Second Line :
City : MC LEAN
State : VA
Zip : 22102-3020
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 351 BALLENGER CENTER DR STE 201
Second Line :
City : FREDERICK
State : MD
Zip : 21703-7384
Country : US
Telephone Number : 240-342-2666
Fax Number :
Authorized Official
Title or Position : BUSINESS ANALYST
Name : JOEY YOON
Credential :
Telephone Number : 301-450-4086
Provider Enumeration Date : 03/06/2025
Last Update Date : 03/06/2025

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Directions to “ALLY BEHAVIOR LLC ” Practice Location

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