Healthcare Provider Details

I. General information

NPI: 1659275030
Provider Name (Legal Business Name): ALLY BEHAVIOR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4611 ASSEMBLY DR STE A
LANHAM MD
20706-4867
US

IV. Provider business mailing address

1410 SPRING HILL RD STE 305
MC LEAN VA
22102-3020
US

V. Phone/Fax

Practice location:
  • Phone: 240-342-2666
  • Fax: 833-220-8662
Mailing address:
  • Phone: 240-342-2666
  • Fax: 833-220-8662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: JENNIFER SALACH
Title or Position: INSURANCE AND REVENUE CYCLE ANALYST
Credential:
Phone: 240-342-2666