Organization
ALLY BEHAVIOR LLC
Active
Parent organization
ALLY BEHAVIOR LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLY BEHAVIOR LLC
Authorized official
JENNIFER SALACH (INSURANCE AND REVENUE CYCLE ANALYST)
(240) 253-1757
Entity
Organization
Contact information
Practice address
351 BALLENGER CENTER DR STE 102, FREDERICK, MD 21703-7384
(240) 342-2666
Mailing address
1410 SPRING HILL RD STE 305, MC LEAN, VA 22102-3020
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
208000000X
Pediatrics Physician
Primary
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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