Healthcare Provider Details

I. General information

NPI: 1720606957
Provider Name (Legal Business Name): EVIDENCE BASED CLASSROOM SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2020
Last Update Date: 08/23/2021
Certification Date: 08/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1949 THOMSON DR
LYNCHBURG VA
24501-1030
US

IV. Provider business mailing address

1949 THOMSON DR
LYNCHBURG VA
24501-1030
US

V. Phone/Fax

Practice location:
  • Phone: 434-610-7087
  • Fax: 434-266-0583
Mailing address:
  • Phone: 434-610-7087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. CHAD HONEYCUTT
Title or Position: BEHAVIOR ANALYST, OWNER
Credential: M.ED, BCBA, LBA
Phone: 434-610-7087