Organization
ALLIANCE ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER CHELLIS (VICE PRESIDENT)
(703) 229-6121
Entity
Organization
Contact information
Practice address
904 PRINCESS ANNE ST STE 204, FREDERICKSBURG, VA 22401-5801
(703) 229-4216
Mailing address
17932 FRALEY BLVD STE 205, DUMFRIES, VA 22026-2456
(571) 606-2428
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/10/2019
Last updated
12/22/2022
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