MEDICARE: ALIGHT BEHAVIORAL THERAPY VA PLLC

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
1	103K00000X	Behavior Analyst
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1861355752
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALIGHT BEHAVIORAL THERAPY VA PLLC

Provider Business Mailing Address
First Line	:	998 E 21ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-2834
Country	:	US
Telephone Number	:	929-245-5295
Fax Number	:

Provider Business Practice Location Address
First Line	:	8401 MAYLAND DR STE A
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23294-4648
Country	:	US
Telephone Number	:	704-610-5390
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RUTH SULTANA KUTCHER-BIER
Credential	:
Telephone Number	:	929-245-5295

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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