Katz, Ethan

Katz, Ethan is an individual health care provider with primary practice located at 6563 Edsall Rd , Springfield VA 22151-4414. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Katz, Ethan can be contacted via phone (703) 354-0000.

Contact Information

Primary practice address
6563 Edsall Rd Springfield VA 22151-4414
Phone: (703) 354-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-18-30640

Profile Details

NPI number 1083193890
LBN Legal business name Katz, Ethan
Credentials M.ED, BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2018
Last updated Aug 13th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083193890 NPPES
Other 1-18-30640 BEHAVIOR ANALYST CERTIFICATION BOARD
Other 0133001179 BEHAVIOR ANALYST CERTIFICATION BOARD

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