Healthcare Provider Details

I. General information

NPI: 1033681960
Provider Name (Legal Business Name): MARGARET RADLOFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2018
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 S WASHINGTON ST
ALEXANDRIA VA
22314-3626
US

IV. Provider business mailing address

2423 S ORANGE AVE # 353
ORLANDO FL
32806-4543
US

V. Phone/Fax

Practice location:
  • Phone: 866-380-3419
  • Fax: 775-392-1245
Mailing address:
  • Phone: 703-870-3880
  • Fax: 775-392-1245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0133001759
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: