Organization
PIVOTAL BEHAVIOR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA L MALMGREN M.ED, BCBA, LBA (PRESIDENT)
(540) 680-8275
Entity
Organization
Contact information
Practice address
11046 STUART MILL RD, OAKTON, VA 22124-1013
(540) 680-8275
Mailing address
11046 STUART MILL RD, OAKTON, VA 22124-1013
(540) 680-8275
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/24/2020
Last updated
10/24/2020
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