Unknown Individual – Community/Behavioral Health Agency, NPI 1265689160
Community/Behavioral Health Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
11230, Waples Mill Road, Random Hills, Fair Oaks, Fairfax (city), Virginia, 22030, United States
SUITE 105
FAIRFAX, VA 22030
Phone: (703) 208-1539
Fax: (703) 273-2267
Type: Mailing
Janet, Rue Pierre et Marie Curie, Vanteaux, Limoges, Haute-Vienne, New Aquitaine, Metropolitan France, 87000, France
VIENNA, VA 22160
Phone: (703) 208-1539
Fax: (703) 273-2267
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22030)
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