Healthcare Provider Details

I. General information

NPI: 1871424648
Provider Name (Legal Business Name): COLLABORATIVE BEHAVIOR SOLUTIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 CASTILIAN DR
VIRGINIA BEACH VA
23462-7638
US

IV. Provider business mailing address

132 CASTILIAN DR
VIRGINIA BEACH VA
23462-7638
US

V. Phone/Fax

Practice location:
  • Phone: 970-573-2420
  • Fax:
Mailing address:
  • Phone: 970-573-2420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MADELINE KAY HARPER
Title or Position: OWNER/BCBA
Credential: M.S., BCBA, LBA
Phone: 970-573-2420