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SUPPORTIVE CARE ABA VA LLC
NPI 1053034231
Community/Behavioral Health in Mc Lean, VA

Active since September 22, 2022
1765 GREENSBORO STATION PL, MC LEAN, VA 22102(317) 936-1240(317) 936-1241 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Supportive Care Aba Va Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPPORTIVE CARE ABA VA LLC (NPI 1053034231) is a healthcare organization registered as a community/behavioral health in Mc Lean, Virginia and active in the NPI registry since September 2022. The organization lists Ruben Kesherim, Member, as its authorized official.

NPPES Registry Identity

NPI1053034231
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSUPPORTIVE CARE ABA VA LLC
Location Address1765 GREENSBORO STATION PLMc Lean, VA 22102-3467
Mailing Address1765 Greensboro Station PlMc Lean, VA 22102-3467 · (317) 936-1240 · Fax (317) 936-1241
Phone(317) 936-1240
Fax(317) 936-1241
Organization SubpartNo
Authorized OfficialRuben KesherimMember · (317) 936-1240
Enumeration DateSeptember 22, 2022
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 9, 2024
✔ NPI 1053034231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedBehavior AnalystTaxonomy 103K00000X
1765 GREENSBORO STATION PL, Mc Lean, VA 22102
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLEE KURTO
Behavior Analyst
1765 GREENSBORO STATION PL
MC LEAN, VA 22102
Fairfax County (317) 936-1240
MS. DARIA DITZLER
Behavior Analyst
1765 GREENSBORO STATION PL
MC LEAN, VA 22102
Fairfax County (301) 246-2351
SAFE AND SECURE TRANSITION HOME CARE, LLC
Home Health
1765 GREENSBORO STATION PL, TOWER 1, STE 900
MCLEAN, VA 22102
Fairfax County (703) 539-0411
ASHLEY CEDERHOLM
Behavior Analyst
1765 GREENSBORO STATION PL
MC LEAN, VA 22102
Fairfax County (317) 936-1240
BRANDON EASON
Behavior Analyst
1765 GREENSBORO STATION PL
MC LEAN, VA 22102
Fairfax County (317) 936-1241

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supportive Care Aba VA LLC's NPI number?

The NPI number for Supportive Care Aba VA LLC is 1053034231. It was assigned to this organization in the NPPES registry on September 22, 2022.

Where is Supportive Care Aba VA LLC located?

Supportive Care Aba VA LLC is located at 1765 Greensboro Station Pl, Mc Lean, VA 22102. The listed phone number is (317) 936-1240.

What is Supportive Care Aba VA LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Supportive Care Aba VA LLC was last updated on October 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.