Healthcare Provider Details

I. General information

NPI: 1427527027
Provider Name (Legal Business Name): MARYLYN SENATO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2018
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8405 RICHMOND HWY STE E
ALEXANDRIA VA
22309-2425
US

IV. Provider business mailing address

225 S WHITING ST APT 807
ALEXANDRIA VA
22304-7136
US

V. Phone/Fax

Practice location:
  • Phone: 703-896-0760
  • Fax:
Mailing address:
  • Phone: 206-353-3607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: