Provider Demographics
NPI:1033824651
Name:TRANSCEND BEHAVIORAL CONSULTING
Entity type:Organization
Organization Name:TRANSCEND BEHAVIORAL CONSULTING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:QUINTA
Authorized Official - Middle Name:
Authorized Official - Last Name:EMEFELE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:703-598-7099
Mailing Address - Street 1:9052 MARIA WAY
Mailing Address - Street 2:
Mailing Address - City:MANASSAS PARK
Mailing Address - State:VA
Mailing Address - Zip Code:20111-7051
Mailing Address - Country:US
Mailing Address - Phone:703-598-7099
Mailing Address - Fax:
Practice Address - Street 1:9052 MARIA WAY
Practice Address - Street 2:
Practice Address - City:MANASSAS PARK
Practice Address - State:VA
Practice Address - Zip Code:20111-7051
Practice Address - Country:US
Practice Address - Phone:703-598-7099
Practice Address - Fax:703-988-6909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-18
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA30017518600001Medicaid