Healthcare Provider Details

I. General information

NPI: 1922632181
Provider Name (Legal Business Name): NAYBEL J SANTOS ALVAREZ BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2020
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 ELDEN ST STE 302
HERNDON VA
20170-4851
US

IV. Provider business mailing address

8450 NW 102ND AVE APT 108
DORAL FL
33178-4751
US

V. Phone/Fax

Practice location:
  • Phone: 703-310-7665
  • Fax:
Mailing address:
  • Phone: 787-479-2594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0133004110
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: