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NPI Code Detail

MEDICARE: KIND NEST ACADEMY LLC

MEDICARE: KIND NEST ACADEMY 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
1103K00000XBehavior Analyst
2106E00000XAssistant Behavior Analyst
3106S00000XBehavior Technician
4251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1831038405
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIND NEST ACADEMY LLC
Provider Business Mailing Address
First Line : 11813 BROCKMAN LN
Second Line :
City : GREAT FALLS
State : VA
Zip : 22066-4202
Country : US
Telephone Number : 571-353-4475
Fax Number :
Provider Business Practice Location Address
First Line : 11813 BROCKMAN LN
Second Line :
City : GREAT FALLS
State : VA
Zip : 22066-4202
Country : US
Telephone Number : 571-353-4475
Fax Number :
Authorized Official
Title or Position : CEO
Name : BAHMAN ZAHEDI
Credential :
Telephone Number : 571-353-4475
Provider Enumeration Date : 03/27/2026
Last Update Date : 04/01/2026

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Directions to “KIND NEST ACADEMY LLC ” Practice Location

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