Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Magnolia Grove Behavioral Services LLC

Organization Behavior Analyst · NPI 1346152535

Magnolia Grove Behavioral Services LLC provides Behavior Analyst services in Fairfax, Virginia. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3028 Southern Elm Ct
Fairfax, VA 22031-1101
Phone: (610) 888-4484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1346152535
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chelsia Wong — Bcba · (610) 888-4484
NPI enumeratedSeptember 21, 2026
Last updated in NPPESSeptember 21, 2026
Certification dateSeptember 21, 2026
Mailing address3028 Southern Elm Ct, Fairfax, VA 22031-1101

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