MEDICARE: SEVAL AYDIN BT

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
1	103K00000X	Behavior Analyst	0133004924	VA

General Provider Information

NPI Number	:	1730810730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEVAL AYDIN BT

Provider Business Mailing Address
First Line	:	7120 SAMUEL MORSE DR STE 150
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21046-3420
Country	:	US
Telephone Number	:	888-344-5977
Fax Number	:	999-999-9999

Provider Business Practice Location Address
First Line	:	3855 CENTERVIEW DR STE 400B
Second Line	:
City	:	CHANTILLY
State	:	VA
Zip	:	20151-3285
Country	:	US
Telephone Number	:	844-854-1116
Fax Number	:	305-846-9711

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2022
Last Update Date	:	02/16/2026

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