Michaela Marie Nameth

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22207768 Issued in VA

Practice address

131 Elden St Ste 302
Herndon, VA 20170-4851

Phone

(703) 496-4371

Fax

(703) 435-4021

NPI assigned

Mar 25, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Autism First, LLC

  • Behavior Analyst
  • Herndon, VA
  • NPI 1497343701

  Behavior Technician

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1003566852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ELDEN ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704876",
            "telephone_number": "703-496-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 ELDEN ST STE 302",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704851",
            "telephone_number": "703-496-4371",
            "fax_number": "703-435-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMETH",
        "first_name": "MICHAELA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "RBT-22207768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578982765",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.autismfirstus.com",
            "affiliation": "N",
            "address_1": "131 Elden St Ste 302",
            "city": "Herndon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201704851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Simona Naik, DMD
• Vicki Naman
• Nami Independent Living LLC
• Bawna Nana
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• Asad Naqvi
• Leena Nathan, DPT

• Behavior Technician in Herndon, VA
• Providers in Herndon, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.