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Organization

EVOLUTION BEHAVIORAL HEALTH SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARCELO LORENZO-LUACES PICO (DIRECTOR)
(571) 345-8357
Entity
Organization

Contact information

Practice address
23257 SOUTHDOWN MANOR TER UNIT 101, ASHBURN, VA 20148-8176
(571) 345-8357
Mailing address
23257 SOUTHDOWN MANOR TER UNIT 101, ASHBURN, VA 20148-8176
(571) 345-8357

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/26/2022
Last updated
04/26/2022
About Stedi
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Product
  • Claims
  • Eligibility checks
  • EDI platform