Organization
ACTS FOR BEHAVIORAL CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA M COFFMAN BCBA (OWNER/MANAGER)
(703) 729-5710
Entity
Organization
Contact information
Practice address
43863 AMITY PL, ASHBURN, VA 20147-3801
(703) 729-5710
(703) 729-5710
Mailing address
43863 AMITY PL, ASHBURN, VA 20147-3801
(703) 729-5710
(703) 729-5710
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1095594
—
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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