Healthcare Provider Details

I. General information

NPI: 1477467751
Provider Name (Legal Business Name): THE FIREFLY COLLECTIVE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 BLAKEY AVE
STANARDSVILLE VA
22973-2460
US

IV. Provider business mailing address

220 BLAKEY AVE
STANARDSVILLE VA
22973-2460
US

V. Phone/Fax

Practice location:
  • Phone: 202-880-2798
  • Fax:
Mailing address:
  • Phone: 202-880-2798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: JENNIFER ANN LLOYD-WHITE
Title or Position: DIRECTOR
Credential: BCBA
Phone: 202-880-2798