Individual provider Active NPI

Kimberly Ann Brickman, BCABA

  • Assistant Behavior Analyst
  • Alexandria, VA
National Provider Identifier
1073811469
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0134000170 Issued in VA
Practice address
3660 Wheeler Ave Ste a
Alexandria, VA 22304-6403
Phone
(703) 870-3880
Fax
(775) 392-1245
NPI assigned
Mar 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0134000170 VA Primary

Addresses

Primary practice location

3660 Wheeler Ave Ste a
Alexandria, VA 22304-6403

Mailing address

2423 S Orange Ave # 353
Orlando, FL 32806-4543
Phone (703) 870-3880

Other practice location 1

2805 Duke St
Alexandria, VA 22314-4512
Phone (703) 870-3880

Other practice location 2

212 S Washington St
Alexandria, VA 22314-3626
Phone (703) 870-3880

Other identifiers 1

IdentifierTypeStateIssuer
30017533470001MedicaidVA

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
0134000170VAMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Autism Partnership, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1073811469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 S ORANGE AVE # 353",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064543",
            "telephone_number": "703-870-3880",
            "fax_number": "775-392-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 WHEELER AVE STE A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223046403",
            "telephone_number": "703-870-3880",
            "fax_number": "775-392-1245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2805 Duke St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223144512",
            "country_code": "US",
            "telephone_number": "703-870-3880",
            "fax_number": "775-392-1245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223143626",
            "country_code": "US",
            "telephone_number": "703-870-3880",
            "fax_number": "775-392-1245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRICKMAN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "VA",
            "license": "0134000170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017533470001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.