Healthcare Provider Details
I. General information
NPI: 1205761863
Provider Name (Legal Business Name): HOPKINS BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15437 WINDSONG LN
DUMFRIES VA
22025-1137
US
IV. Provider business mailing address
15437 WINDSONG LN
DUMFRIES VA
22025-1137
US
V. Phone/Fax
- Phone: 804-245-7259
- Fax:
- Phone: 804-245-7259
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
RANDALL
GERARD
HOPKINS
JR.
Title or Position: CLINICAL DIRECTOR / FOUNDER
Credential: BCBA
Phone: 804-245-7259