Organization
ADAPTABLE BEHAVIORAL CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER LAMOTHE BCBA, LBA (BEHAVIOR ANALYST)
(609) 372-7114
Entity
Organization
Contact information
Practice address
4501 FORD AVE APT 1412, ALEXANDRIA, VA 22302-1568
(609) 372-7114
Mailing address
4501 FORD AVE APT 1412, ALEXANDRIA, VA 22302-1568
(609) 372-7114
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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