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Organization

DRIVEN BEHAVIORAL SUPPORT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUAN MANUEL MONDILLO BCBA, LBA (OWNER)
(540) 479-7823
Entity
Organization

Contact information

Practice address
10468 INVESTORS PL STE B, SPOTSYLVANIA, VA 22553-1749
(757) 384-3248
(540) 301-8315
Mailing address
10468 INVESTORS PL STE B, SPOTSYLVANIA, VA 22553-1749
(757) 384-3248
(540) 301-8315

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2355S0801X
Speech-Language Assistant
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
10/25/2019
Last updated
07/14/2026
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