Kelly Lee Eakin, BCBA

Behavior Analyst · Stafford, VA

Individual Active NPI

NPI number 1669794368

Practice location

804 Telegraph Rd Ste 220
Stafford, VA 22554-4810
Phone
(571) 251-1859
Fax
(703) 546-1761

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NPI record

NPI
1669794368
Entity type
Individual (Type 1)
Enumeration date
February 22, 2010
Last updated
October 4, 2022
Certified
October 4, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-09-6402 VA

Mailing address

12359 Sunrise Valley Dr
Suite 220
Reston, VA 20191-3462
Phone
(571) 251-1859
Fax
(703) 441-7814

About Kelly Eakin

Kelly Lee Eakin, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 804 Telegraph Rd Ste 220, Stafford, VA 22554-4810. The NPI number 1669794368 was assigned on February 22, 2010 and the record was last updated on October 4, 2022.

Kelly Eakin lists a license in the registry: #1-09-6402 (VA) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelly Lee Eakin, BCBA?

The NPI number is 1669794368.

What is the phone number of Kelly Eakin?

The phone number listed for the practice location is (571) 251-1859.

Where is Kelly Eakin located?

804 Telegraph Rd Ste 220, Stafford, VA 22554-4810.

What is the taxonomy code for Kelly Eakin?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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