Healthcare Provider Details

I. General information

NPI: 1477327401
Provider Name (Legal Business Name): KIDFIRST ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2023
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40963 BRUZZO WOODS CT
ALDIE VA
20105-2298
US

IV. Provider business mailing address

40963 BRUZZO WOODS CT
ALDIE VA
20105-2298
US

V. Phone/Fax

Practice location:
  • Phone: 157-125-1586
  • Fax:
Mailing address:
  • Phone: 571-251-5868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MS. KRYSTLE L CURLEY
Title or Position: OWNER, CLINICAL DIRECTOR
Credential: BCBA, LBA
Phone: 571-251-5868