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Roots To Blooms LLC

Behavior Analyst in Leesburg, VA. Organization (NPI-2).

NPI number1194522136
StatusActive
Last updated in NPPESJul 2, 2025

Details

NPI
1194522136
Entity type
Organization (NPI-2)
Legal business name
Roots To Blooms LLC
Organization subpart
No
Enumeration date
Feb 27, 2025
Certification date
Jul 2, 2025
Last updated
Jul 2, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
106E00000X Assistant Behavior Analyst––
106S00000X Behavior Technician––
2084P0800X Psychiatry & Neurology, Psychiatry––
225X00000X Occupational Therapist––
235Z00000X Speech-Language Pathologist,––

Other names

  • Roots To Blooms LLC (Doing Business As)

Practice location

20133 Gleedsville Rd
Leesburg, VA 20175-8856

Phone 202-415-1578

Mailing address

4901 Springbrook Dr
Annandale, VA 22003-3938

Phone 202-415-1578

Other practice locations

4901 Springbrook Dr
Annandale, VA 22003-3938

Phone 202-415-1578

Authorized official

Hafsa Salahuddin
Manager
2024151578

Is something wrong?

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Other Behavior Analyst providers in Leesburg, VA

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