Healthcare Provider Details

I. General information

NPI: 1922929769
Provider Name (Legal Business Name): PIVOT ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13873 PARK CENTER RD STE 159
HERNDON VA
20171-3561
US

IV. Provider business mailing address

13873 PARK CENTER RD STE 159
HERNDON VA
20171-3561
US

V. Phone/Fax

Practice location:
  • Phone: 845-901-0427
  • Fax: 540-904-0161
Mailing address:
  • Phone: 845-901-0427
  • Fax: 540-904-0161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: REBECCA ASHLEY DUMAS
Title or Position: OWNER
Credential: BCBA
Phone: 845-901-0427