| Organization Name: | BEHAVIORAL PROGRESS LLC |
| NPI Number: | 1316281355 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HOLLY BENNETT (BEHAVIOR ANALYST) |
| Mailing Address: | 41883 Precious Sq Aldie |
| State: | VA US |
| Postal Code: | 201053435 |
| Phone Number: | 7575756060 |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2012 |
| NPI Last Update Date: | 11/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 0133000080 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |