Active NPI
Shafiq Wali
- Behavior Analyst
- Stafford, VA
National Provider Identifier
1083455604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT23270730
- Practice address
- 356 Boxelder Dr
Stafford, VA 22554-6844 - Phone
- (480) 667-2051
- NPI assigned
- Jun 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT23270730 | CO | |
| Behavior Analyst | 103K00000X | RBT23270730 | VA | Primary |
Addresses
Primary practice location
356 Boxelder Dr
Stafford, VA 22554-6844
Mailing address
356 Boxelder Dr
Stafford, VA 22554-6844
Phone (480) 667-2051
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT23270730 | CO | MD | Behavioral Analyst |
| RBT23270730 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1083455604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 BOXELDER DR",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225546844",
"telephone_number": "480-667-2051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 BOXELDER DR",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225546844",
"telephone_number": "480-667-2051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALI",
"first_name": "SHAFIQ",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-06",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "RBT23270730",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "RBT23270730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.