Organization
ABA SUPPORT SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MADDOX JD (CEO)
(703) 864-1300
Entity
Organization
Contact information
Practice address
5306 LEE HWY, WARRENTON, VA 20187-9377
(703) 864-1300
Mailing address
5306 LEE HWY, WARRENTON, VA 20187-9377
(703) 864-1300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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