ACTS FOR BEHAVIORAL CHANGE, LLC — NPI 1285907576 (Licensed & Credentialed Behavior Analyst in ASHBURN, VA)

CMS-1500 Box 24J / 33a • NPI

1285907576

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

103K00000X

Licensed & Credentialed Behavior Analyst

Box 32 Service Location & ZIP+4

43863 AMITY PL, ASHBURN, VA, 20147-3801

✓ 9-Digit EDI 837 ZIP+4 (20147-3801)

Practice Phone & Referral Fax

(703) 729-5710

Fax: (703) 729-5710

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1285907576 (ACTS FOR BEHAVIORAL CHANGE, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1285907576` (NPI-2 Organization / Facility)
Provider / Legal Name	ACTS FOR BEHAVIORAL CHANGE, LLC
Plain-English Specialty	Licensed & Credentialed Behavior Analyst NUCC Code: `103K00000X` (Behavior Analyst)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	43863 AMITY PL, ASHBURN, VA, 20147-3801
Practice Telephone / Fax	Tel: (703) 729-5710 \| Fax: (703) 729-5710
Administrative Mailing Address	43863 AMITY PL, ASHBURN, VA, 20147-3801
Enumeration & Last Sync	Enumerated: 2012-02-16 \| CMS Record Updated: 2012-02-16
Authorized Official	DIANA COFFMAN (Owner/Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

43863 AMITY PL, ASHBURN, VA, 20147-3801

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Plain-English Taxonomy & CMS Crosswalk (103K00000X)

What Does Taxonomy Code 103K00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103K00000X translates to:
"Licensed & Credentialed Behavior Analyst"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Behavior Analyst for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ACTS FOR BEHAVIORAL CHANGE, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103K00000X` — Behavior Analyst Plain English: Licensed & Credentialed Behavior Analyst	State: N/A \| License: `1095594` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ACTS FOR BEHAVIORAL CHANGE, LLC (NPI #1285907576)