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Active NPI 1356062384 Organization (Entity Type 2)

Autism Unchained Llc

Behavior Analyst • Java, VA

About Autism Unchained Llc NPI 1356062384 Summary

Autism Unchained Llc is a verified healthcare organization specializing in Behavior Analyst operating in Java, VA. Located at 347 RICEVILLE RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1356062384.

Administrative operations and authorized compliance are overseen by Kelsey Miller (Owner).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

347 Riceville Rd

Java, VA 245654101

Telephone 4347700049

Authorized Official Information

Authorized Contact Name

Kelsey Miller , BCBA

Title / Role

Owner

Official Telephone

3025405363

Facility Classifications & Specialties

Behavior Analyst Primary Taxonomy

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked
Kelsey Miller NPI 1437717634

Behavior Analyst

Java, VA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

9 Historical Events
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Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2024

Behavior Analyst

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Updated Practice Location January 29, 2024

Registered at 347 RICEVILLE RD, JAVA, VA 245654101 (Tel: 4347700049)

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Updated Business Mailing Address January 29, 2024

Registered at 347 RICEVILLE RD, JAVA, VA 245654101 (Tel: 4347700049)

NPI Profile Active September 08, 2022

NPI status registered as active in NPPES database

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Updated Practice Location September 08, 2022

Registered at 12205 EAGLES NEST CT APT L, GERMANTOWN, MD 208742582 (Tel: 4347709499)

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Updated Business Mailing Address September 08, 2022

Registered at 12205 EAGLES NEST CT APT L, GERMANTOWN, MD 208742582 (Tel: 4347709499)

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Organization / Clinic Name Updated September 08, 2022

Operating as AUTISM UNCHAINED LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2022

Behavior Technician

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Initial NPI Registration & Enumeration September 08, 2022

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1356062384
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: September 08, 2022
Last Update: July 03, 2024

Mailing Address

347 Riceville Rd

Java, VA 245654101

Phone: 4347700049

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.