Healthcare Provider Details

I. General information

NPI: 1831656917
Provider Name (Legal Business Name): ANU KURIAKOSE BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2019
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7288 HANOVER GREEN DR
MECHANICSVILLE VA
23111-1709
US

IV. Provider business mailing address

1640 E PARHAM ROAD
RICHMOND VA
23228
US

V. Phone/Fax

Practice location:
  • Phone: 540-287-6989
  • Fax:
Mailing address:
  • Phone: 804-365-2047
  • Fax: 804-716-7186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0153002438
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: