1083957286 NPI number — DODINI & ASSOCIATES: BEHAVIORAL HEALTH PARTNERS

Table of content: (NPI 1083957286)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083957286 NPI number — DODINI & ASSOCIATES: BEHAVIORAL HEALTH PARTNERS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DODINI & ASSOCIATES: BEHAVIORAL HEALTH PARTNERS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DODINI BEHAVIORAL HEALTH
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083957286
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/05/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1501 LEE HWY
Provider Second Line Business Mailing Address:
SUITE 110
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22209-1047
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-909-5101
Provider Business Mailing Address Fax Number:
703-348-4790

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1501 LEE HWY
Provider Second Line Business Practice Location Address:
SUITE 110
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22209-1047
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-909-5101
Provider Business Practice Location Address Fax Number:
703-348-4790
Provider Enumeration Date:
04/05/2013

Additional Information

Authorized Official

Authorized Official Last Name:
DODINI
Authorized Official First Name:
AARON
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
703-909-5101

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  0810004031 ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 106H00000X , with the licence number: 0717001058 ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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