| Supportive Care Aba VA LLC | |
|
1765 Greensboro Station Pl Mc Lean VA 22102-3467 | |
| (317) 936-1240 | |
| (317) 936-1241 |
| Full Name | Supportive Care Aba VA LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1765 Greensboro Station Pl, Mc Lean, Virginia |
| Authorized Official Name and Position | Ruben Kesherim (MEMBER) |
| Authorized Official Contact | 3179361240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Care Aba VA LLC 1765 Greensboro Station Pl Mc Lean VA 22102-3467 Ph: (317) 936-1240 | Supportive Care Aba VA LLC 1765 Greensboro Station Pl Mc Lean VA 22102-3467 Ph: (317) 936-1240 |
| NPI Number | 1053034231 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053034231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Secondary |
| 251S00000X | Community/behavioral Health | (NU) | Primary |
Risa E. Sanders, Ph.d., PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1313 Vincent Pl, Mc Lean, VA 22101 Phone: 703-919-1959 |
Sport Psychs LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8401 Greensboro Dr Ste 550, Mc Lean, VA 22102 Phone: 703-679-8249 |
Affect Provider Group P.S.C. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1640 Boro Pl Ofc 437, Mc Lean, VA 22102 Phone: 845-769-8758 |
Monte Nido Tysons Corner Day Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8180 Greensboro Dr Ste 375, Mc Lean, VA 22102 Phone: 571-569-4929 Fax: 571-762-0865 |
Tysons Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8200 Greensboro Dr, Suite 120, Mc Lean, VA 22102 Phone: 703-782-4588 Fax: 703-782-4591 |
Psychological Wellness Services, PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1489 Chain Bridge Rd Ste 300, Mc Lean, VA 22101 Phone: 203-819-7782 |