Healthcare Provider Details

I. General information

NPI: 1053130872
Provider Name (Legal Business Name): APTIVE RESOURCES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2024
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N ROYAL ST FL 400
ALEXANDRIA VA
22314-3234
US

IV. Provider business mailing address

110 N ROYAL ST FL 400
ALEXANDRIA VA
22314-3234
US

V. Phone/Fax

Practice location:
  • Phone: 703-829-0961
  • Fax:
Mailing address:
  • Phone: 703-829-0961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. SEAN LENEHAN
Title or Position: COO
Credential:
Phone: 703-829-0961