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Contact Information

BEAM PEDIATRIC THERAPY, LLC
14313 BROOKMERE DR
CENTREVILLE, VA20120-4106
 Phone: 540-455-3107
 Fax: 844-663-2433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for BEAM PEDIATRIC THERAPY, LLC

NPI Number 1295274082
LBN Legal business name BEAM PEDIATRIC THERAPY, LLC
Authorized official AMANDA BOETTCHER - (EXECUTIVE DIRECTOR/BEHAVIOR ANALYST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/14/2017
Last updated 02/14/2017 - About 9 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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