Healthcare Provider Details

I. General information

NPI: 1730577248
Provider Name (Legal Business Name): VALERIE HEARD, MSED, BCBA, LBA MSED, BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2015
Last Update Date: 01/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 STONEWALL JACKSON HWY
BENTONVILLE VA
22610-2220
US

IV. Provider business mailing address

929 STONEWALL JACKSON HWY
BENTONVILLE VA
22610-2220
US

V. Phone/Fax

Practice location:
  • Phone: 540-244-9255
  • Fax:
Mailing address:
  • Phone: 540-244-9255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0133000509
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: