Individual provider Active NPI

Maria Hovander

  • Behavior Analyst
  • Lorton, VA
National Provider Identifier
1053795583
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1034000116 Issued in VA
Practice address
5860 Nicotine TRL
Lorton, VA 22079-4265
Phone
(703) 399-4388
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1034000116 VA Primary

Addresses

Primary practice location

5860 Nicotine TRL
Lorton, VA 22079-4265

Mailing address

5860 Nicotine TRL
Lorton, VA 22079-4265
Phone (703) 399-4388

Other identifiers 1

IdentifierTypeStateIssuer
0134000116OtherVAASSISTANT BEHAVIOR ANALYST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1034000116VAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1053795583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 NICOTINE TRL",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794265",
            "telephone_number": "703-399-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 NICOTINE TRL",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794265",
            "telephone_number": "703-399-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVANDER",
        "first_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1034000116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTANT BEHAVIOR ANALYST",
            "identifier": "0134000116",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.