Mr. John Pruett, BCBA
Behavior Analyst in Springfield, Virginia
1184283525- Practice location
- 7420 Fullerton RD Ste 104, Springfield, VA 22153-2836
- Phone
- 703-463-7174
- Fax
- 781-437-1200
- Last updated
- March 25, 2024
John Pruett is a Behavior Analyst based in Springfield, VA. John Pruett practices in Springfield, VA and has the professional credentials of BCBA. The NPI Number for John Pruett is 1184283525 and holds a License No. 3108 (MA). The current practice location address for John Pruett is 7420 Fullerton RD Ste 104, Springfield, VA 22153-2836 and can be reached out via phone at 703-463-7174 and via fax at 781-437-1200.
Provider Profile Details
- NPI Number
- 1184283525
- Provider Name
- John Pruett
- Credential
- BCBA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 7420 Fullerton RD Ste 104, Springfield, VA 22153-2836
- Phone Number
- 703-463-7174
- Fax Number
- 781-437-1200
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 10, 2019
- Last Update Date
- March 25, 2024
- Certification Date
- March 25, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7420 Fullerton RD Ste 104
Springfield, VA 22153-2836 - City
- Springfield
- State
- Virginia
- Zip
- 22153-2836
- Phone Number
- 703-463-7174
- Fax Number
- 781-437-1200
Provider Business Mailing Address Details
- Address
- 7420 Fullerton RD Ste 104
Springfield, VA 22153-2836 - City
- Springfield
- State
- VA
- Zip
- 22153-2836
- Phone Number
- 703-463-7174
- Fax Number
- 781-437-1200
License Information
- Taxonomy (1)
- Behavior Analyst · 103K00000X
- License Number (2)
- 3108
- License State (2)
- MA
- Taxonomy (2)
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. John Pruett, BCBA?
The NPI number of Mr. John Pruett, BCBA is 1184283525. It was assigned on June 10, 2019 and is currently active in the NPPES registry.
What is the specialty of Mr. John Pruett, BCBA?
Mr. John Pruett, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 3108.
Where does Mr. John Pruett, BCBA practice?
The practice location is 7420 Fullerton RD Ste 104, Springfield, VA 22153-2836. The office can be reached at 703-463-7174 (phone) or 781-437-1200 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184283525 directly on the NPPES registry website.