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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
1235Z00000XSpeech-Language Pathologist
2225X00000XOccupational Therapist

General Provider Information

NPI Number : 1396540779
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 : 8818 CENTRE PARK DR FL 2
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-2159
Country : US
Telephone Number : 301-265-5617
Fax Number :
Authorized Official
Title or Position : BUSINESS ANALYST
Name : JOEY YOON
Credential :
Telephone Number : 301-450-4086
Provider Enumeration Date : 02/18/2025
Last Update Date : 02/18/2025

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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.

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