Organization
BEHAVIORAL CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER ANN SMITH BCABA (DIRECTOR)
(703) 232-9691
Entity
Organization
Contact information
Practice address
3961 BLYSDALE LN, WOODBRIDGE, VA 22192-7445
(703) 232-9691
(703) 730-2039
Mailing address
3961 BLYSDALE LN, WOODBRIDGE, VA 22192-7445
(703) 232-9691
(703) 730-2039
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0-07-2281
FL
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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