| Foundations Workshop Llc | |
|
7999 Crescent Park Dr Gainesville VA 20155-1565 | |
| (571) 719-7679 | |
| Not Available |
| Full Name | Foundations Workshop Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7999 Crescent Park Dr, Gainesville, Virginia |
| Authorized Official Name and Position | Lauren Fox (OWNER/BEHAVIOR ANALYST) |
| Authorized Official Contact | 5717197679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Workshop Llc 7999 Crescent Park Dr Gainesville VA 20155-1565 Ph: (571) 719-7679 | Foundations Workshop Llc 7999 Crescent Park Dr Gainesville VA 20155-1565 Ph: (571) 719-7679 |
| NPI Number | 1841079472 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 03/16/2026 |
| Certification Date | 03/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841079472 | NPI | - | NPPES |
| 30017781270001 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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