DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ALLY BEHAVIOR LLC

MEDICARE: ALLY BEHAVIOR LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0006XDevelopmental - Behavioral Pediatrics Physician
2103TC0700XClinical Psychologist
3103TC2200XClinical Child & Adolescent Psychologist
4208000000XPediatrics Physician

General Provider Information

NPI Number : 1275465650
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLY BEHAVIOR LLC
Provider Business Mailing Address
First Line : 1410 SPRING HILL RD STE 305
Second Line :
City : MC LEAN
State : VA
Zip : 22102-3020
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 351 BALLENGER CENTER DR STE 102
Second Line :
City : FREDERICK
State : MD
Zip : 21703-7384
Country : US
Telephone Number : 240-342-2666
Fax Number :
Authorized Official
Title or Position : INSURANCE AND REVENUE CYCLE ANALYST
Name : JENNIFER SALACH
Credential :
Telephone Number : 240-253-1757
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

Similar Medicare Providers

1447182639 — HOPE PATTON
Practice Location Address:
351 BALLENGER CENTER DR STE 102
FREDERICK, MD
21703-7384
Practice Phone: 240-342-2666
Practice Fax:
1255263448 — EVAN EVANS
Practice Location Address:
351 BALLENGER CENTER DR STE 102
FREDERICK, MD
21703-7384
Practice Phone: 240-342-2666
Practice Fax:
1154253342 — KEIRA SWIMELEY
Practice Location Address:
351 BALLENGER CENTER DR STE 102
FREDERICK, MD
21703-7384
Practice Phone: 240-342-2666
Practice Fax:
1992440333 — MRS. ALYSSA PAIGE TENNANT
Practice Location Address:
351 BALLENGER CENTER DR STE 102
FREDERICK, MD
21703-7384
Practice Phone: 301-301-9399
Practice Fax:
1902673643 — MISS IESHA DEANNA LOWERY BT
Practice Location Address:
351 BALLENGER CENTER DR STE 102
FREDERICK, MD
21703-7384
Practice Phone: 240-342-2666
Practice Fax:
1558169276 — ALLY BEHAVIOR LLC
Practice Location Address:
351 BALLENGER CENTER DR STE 102
FREDERICK, MD
21703-7384
Practice Phone: 240-342-2666
Practice Fax:

Directions to “ALLY BEHAVIOR LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.