Healthcare Provider Details

I. General information

NPI: 1366346942
Provider Name (Legal Business Name): ANGELICA SCOTT BCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9430 FORESTWOOD LN
MANASSAS VA
20110-4753
US

IV. Provider business mailing address

9430 FORESTWOOD LN
MANASSAS VA
20110-4753
US

V. Phone/Fax

Practice location:
  • Phone: 703-909-9332
  • Fax:
Mailing address:
  • Phone: 703-909-9332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: