Provider Demographics
NPI:1619786365
Name:BARRIOS, KATHY
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:BARRIOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5302 KNOLE CT APT 42
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311-5302
Mailing Address - Country:US
Mailing Address - Phone:571-277-1545
Mailing Address - Fax:
Practice Address - Street 1:5500 CHEROKEE AVE STE 120
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-2321
Practice Address - Country:US
Practice Address - Phone:703-832-4954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-06
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician