Carly Diffenderfer

Behavior Technician · Reston, VA

Individual Active NPI

NPI number 1801701297

Practice location

12330 Pinecrest Rd Ste 100
Reston, VA 20191-1656
Phone
(571) 592-9580

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NPI record

NPI
1801701297
Entity type
Individual (Type 1)
Enumeration date
August 18, 2026
Last updated
August 18, 2026
Certified
August 18, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

2550 N Hollywood Way Ste 301
Burbank, CA 91505-5025

About Carly Diffenderfer

Carly Diffenderfer is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 12330 Pinecrest Rd Ste 100, Reston, VA 20191-1656. The NPI number 1801701297 was assigned on August 18, 2026 and the record was last updated on August 18, 2026.

Frequently asked questions

What is the NPI number of Carly Diffenderfer?

The NPI number is 1801701297.

What is the phone number of Carly Diffenderfer?

The phone number listed for the practice location is (571) 592-9580.

Where is Carly Diffenderfer located?

12330 Pinecrest Rd Ste 100, Reston, VA 20191-1656.

What is the taxonomy code for Carly Diffenderfer?

The primary taxonomy code is 106S00000X – Behavior Technician.

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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