DRIVEN BEHAVIORAL SUPPORT LLC (NPI# 1831732486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831732486 |
| Entity Type | Organization |
| Organization Name | DRIVEN BEHAVIORAL SUPPORT LLC |
| Practice Address |
10468 Investors Pl Ste B Spotsylvania VA 22553-1749 |
| Practice Telephone | 5404797823 |
| Practice Fax Number | 5403018315 |
| Mailing Telephone | 5404797823 |
| Mailing Fax Number | 5403018315 |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | JUAN MANUEL MONDILLO (OWNER) |
| Authorized Official Telephone | 5404797823 |
| Authorized Official Credential | BCBA, LBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10900 Long Leaf Ct, Fredericksburg, VA 224075083 | 5404797823 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Driven Behavioral Support LLC | 10468 Investors Pl Ste B, Spotsylvania, Virginia 22553-1749 |
| Street Address |
10468 INVESTORS PL STE B |
| City | SPOTSYLVANIA |
| State | VA |
| Zip Code | 22553-1749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023315710 | Vicky Lynne Wilder | Counselor | 8913 Blvd of The General, Spotsylvania, VA 22553 | 2011-02-16 |
| 1851616528 | Pl Physicians, Inc. | Pediatrics | 9671 Courthouse Rd, Suite 113, Spotsylvania, VA 22553 | 2010-04-06 |
| 1699967570 | Amy Lea Cummings-hesse | Massage Therapist | 10411 Court House Road, Suite C, Spotsylvania, VA 22553 | 2007-08-14 |
| 1376769703 | Susan M Sablon | Physical Therapy Assistant | 195 Falcon Dr., Fredericksburg, VA 22553 | 2007-04-17 |
| 1962522664 | Jennifer A Clark | Pediatrics | 9755 Courthouse Rd, Suite 101, Spotsylvania, VA 22553 | 2007-03-29 |
| 1174686851 | Nandini Malghan | Dentist | 10454 Hilltop Plaza Way, Spotsylvania, VA 22553 | 2006-12-18 |
| 1639270911 | John Herbert Coker Jr. | Dentist | 10472 Georgetown Drive, Spotsylvania, VA 22553 | 2006-09-26 |
| 1306890587 | Spotsylvania County Board of Supervisors | Ambulance | 8800 Courthouse Road, Rm 414, Spotsylvania, VA 22553 | 2006-05-20 |
| 1780652370 | Jeffrey D Day | Dentist | 10466 Georgetown Drive, Spotsylvania, VA 22553 | 2006-03-09 |
| 1295238186 | Naureen Mehdi | Physician Assistant | 9763 Courthouse Rd, Spotsylvania, VA 22553 | 2018-03-16 |
| Find all providers in zip 22553 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154898112 | Lyric Imari Shipp | Behavioral Analyst | 5901 Piccadilly Cir, Spotsylvania, VA 22553-1795 | 2018-10-29 |
| 1699072447 | Katherine Lynch | Behavioral Analyst | 10200 Ni River Dr, Spotsylvania, VA 22553-3741 | 2011-02-14 |
| 1699314609 | Elizabeth G Caldwell | Behavioral Analyst | 10200 Ni River Dr, Spotsylvania, VA 22553-3741 | 2019-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548449 | Mikhail Ignatov | Behavioral Analyst | 1600 N Beauregard St Ste 100, Alexandria, VA 22311-1732 | 2020-11-04 |
| 1588265060 | Emory Christine Bruno | Behavioral Analyst | 10487 Lakeridge Pkwy Ste 450, Ashland, VA 23005-8151 | 2020-11-03 |
| 1316547516 | Thrive Behavioral Consulting, LLC | Behavioral Analyst | 204 Reservoir Ln, Suffolk, VA 23434-4456 | 2020-10-27 |
| 1982203550 | Nick R Avila IIi | Behavioral Analyst | 372 Live Oak Ln, Galax, VA 24333-5476 | 2020-10-23 |
| 1750980199 | Rubric Behavioral and Educational Services, LLC | Behavioral Analyst | 4131 36th St S, Arlington, VA 22206-1805 | 2020-10-17 |
| 1821696113 | Songbird Health Va LLC | Behavioral Analyst | 1390 Chain Bridge Rd, Mc Lean, VA 22101-3904 | 2020-10-09 |
| 1972100212 | Aaron Nicole Turner | Behavioral Analyst | 3500 Quail Meadows Ct, Midlothian, VA 23112-4461 | 2020-10-08 |
| 1427664150 | Madimba Kayumba | Behavioral Analyst | 2651 Arlington Dr Apt 204, Alexandria, VA 22306-3626 | 2020-09-18 |
| 1023622230 | Joanne Perdu-ouimet | Behavioral Analyst | Incredible Changes, 4191 Waterway Dr., Dumfries, VA 22025 | 2020-09-04 |
| 1265044432 | Shawnita Amber Collins | Behavioral Analyst | 2700 Neabsco Common Pl Apt 242, Woodbridge, VA 22191-6779 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
| City | SPOTSYLVANIA |
| Zip Code | 22553 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.