Organization
BEYOND BEHAVIORS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE MICHELLE MACKE RN (CEO/CFO)
(703) 658-9300
Entity
Organization
Contact information
Practice address
4208 EVERGREEN LN, SUITE #211, ANNANDALE, VA 22003-3235
(703) 658-9300
Mailing address
4208 EVERGREEN LN, SUITE #211, ANNANDALE, VA 22003-3235
(703) 658-9300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
22705001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4947207
—
VA
Enumeration date
03/24/2006
Last updated
08/22/2020
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