Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evidence Based Treatment Collaborative

Organization Mental Health Counselor · NPI 1922858794

Evidence Based Treatment Collaborative is a Mental Health Counselor in Fairfax, Virginia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

4000 Legato Rd Fl 11
Fairfax, VA 22033-2892
Phone: (571) 206-1747
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Clinical Psychologist Taxonomy 103TC0700X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1922858794
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joanna Marino — Ceo · (571) 477-1611
NPI enumeratedMarch 25, 2024
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026
Mailing address4000 Legato Rd Fl 11, Fairfax, VA 22033-2892

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