Peak Performance Neurofeedback, Llc

LBN: Peak Performance Neurofeedback, Llc
Peak Performance Neurofeedback, Llc is an health care organization with primary practice located at 13800 Coppermine Rd Suite 183, Herndon VA 20171-6163. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Peak Performance Neurofeedback, Llc can be contacted via phone (619) 540-3235, or through Davis, Beth B via phone (619) 540-3235.

Contact Information

Primary practice address
13800 Coppermine Rd Suite 183 Herndon VA 20171-6163
Phone: (619) 540-3235
Fax: (703) 234-2213
Website:
Map and Directions
Authorized official contact:
Name: Davis, Beth B PHD
Phone: (619) 540-3235

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 0810004027 Virginia
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 0810004027 Virginia
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 0810004027 Virginia

Profile Details

NPI number 1275913436
LBN Legal business name Peak Performance Neurofeedback, Llc
DBA Doing business as
Authorized official Davis, Beth B PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2015
Last updated Aug 29th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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