Provider Demographics
NPI:1225678667
Name:HORDINSKI, CHARLOTTE (BCBA)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:
Last Name:HORDINSKI
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37777 HARLOW DR
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-5765
Mailing Address - Country:US
Mailing Address - Phone:440-799-5691
Mailing Address - Fax:
Practice Address - Street 1:1900 RESTON METRO PLZ FL 6TH
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-5218
Practice Address - Country:US
Practice Address - Phone:757-703-8799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-14
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133004448103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst