Amir Mehdi Ansari Ghaleh, M.S.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-47908 Issued in CO

Practice address

4528 Plank Rd
Fredericksburg, VA 22407-0141

Phone

(540) 755-2937

NPI assigned

Jul 13, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1083067185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 LINSEY CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934327",
            "telephone_number": "407-443-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070141",
            "telephone_number": "540-755-2937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Casselberry",
            "state": "FL",
            "postal_code": "327075372",
            "country_code": "US",
            "telephone_number": "321-972-4039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSARI GHALEH",
        "first_name": "AMIR",
        "middle_name": "MEHDI",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-21-47908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.