Healthcare Provider Details

I. General information

NPI: 1366545832
Provider Name (Legal Business Name): REGION TEN COMMUNITY SERVICES BOARD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 OLD LYNCHBURG RD
CHARLOTTESVILLE VA
22903-6500
US

IV. Provider business mailing address

500 OLD LYNCHBURG RD
CHARLOTTESVILLE VA
22903-6500
US

V. Phone/Fax

Practice location:
  • Phone: 434-972-1800
  • Fax:
Mailing address:
  • Phone: 434-972-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: FRANK ALLEVATO
Title or Position: DIRECTOR OF REIMBURSEMENT
Credential:
Phone: 434-970-2178