Healthcare Provider Details

I. General information

NPI: 1902718596
Provider Name (Legal Business Name): INFINITY AND BEYOND AUTISM CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21349 GLEBE VIEW DR
BROADLANDS VA
20148-3629
US

IV. Provider business mailing address

21349 GLEBE VIEW DR
BROADLANDS VA
20148-3629
US

V. Phone/Fax

Practice location:
  • Phone: 703-989-0002
  • Fax:
Mailing address:
  • Phone: 703-989-0002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MRS. NAGA SWETHA YALAMANCHILI
Title or Position: MANAGING PARTNER
Credential:
Phone: 703-989-0102