Healthcare Provider Details

I. General information

NPI: 1346160611
Provider Name (Legal Business Name): CONTEXTUAL BEHAVIOR SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2308 STARFISH RD APT 101
VIRGINIA BEACH VA
23451-1241
US

IV. Provider business mailing address

2308 STARFISH RD APT 101
VIRGINIA BEACH VA
23451-1241
US

V. Phone/Fax

Practice location:
  • Phone: 757-375-5069
  • Fax:
Mailing address:
  • Phone: 757-375-5069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KASEY LEE ISLAM
Title or Position: OWNER/MANAGING MEMBER
Credential: M.ED., BCBA, LBA
Phone: 757-375-5069