MEDICARE: ALLY BEHAVIOR LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103TB0200X	Cognitive & Behavioral Psychologist
2	103TC0700X	Clinical Psychologist
3	103TC2200X	Clinical Child & Adolescent Psychologist
4	103T00000X	Psychologist

General Provider Information

NPI Number	:	1851223234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLY BEHAVIOR LLC

Provider Business Mailing Address
First Line	:	351 BALLENGER CENTER DR STE 102
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21703-7384
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1410 SPRING HILL RD STE 305
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-3020
Country	:	US
Telephone Number	:	240-342-2666
Fax Number	:

Authorized Official
Title or Position	:	INSURANCE AND REVENUE CYCLE ANALYST
Name	:	JENNIFER SALACH
Credential	:
Telephone Number	:	240-253-1757

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ALLY BEHAVIOR LLC ” Practice Location

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