Healthcare Provider Details

I. General information

NPI: 1104179159
Provider Name (Legal Business Name): GLOBAL BEHAVIOR THERAPY ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2012
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5427B BACKLICK RD
SPRINGFIELD VA
22151-3915
US

IV. Provider business mailing address

5427B BACKLICK RD
SPRINGFIELD VA
22151-3915
US

V. Phone/Fax

Practice location:
  • Phone: 540-424-6767
  • Fax: 540-424-6767
Mailing address:
  • Phone: 540-424-6767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-07-3566
License Number StateVA

VIII. Authorized Official

Name: DR. KAVITA ARORA
Title or Position: DIRECTOR
Credential: PHD., MS OTR., MS PT
Phone: 540-424-6767