Healthcare Provider Details

I. General information

NPI: 1992624522
Provider Name (Legal Business Name): THE BEHAVIOR PLACELLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10665 STANHAVEN PL STE 300A
WHITE PLAINS MD
20695-3069
US

IV. Provider business mailing address

10850 WISTERIA LN
KING GEORGE VA
22485-3882
US

V. Phone/Fax

Practice location:
  • Phone: 240-673-6111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LAURA TREST
Title or Position: OWNER
Credential:
Phone: 425-949-0801