Individual provider Active NPI

Ryan Taylor Traub

  • Behavior Analyst
  • Alexandria, VA
National Provider Identifier
1083593784
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133004187 Issued in VA
Practice address
2000 Huntington Ave Apt 515
Alexandria, VA 22303-1706
Phone
(571) 550-0212
NPI assigned
Aug 28, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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 0133004187 VA Primary

Addresses

Primary practice location

2000 Huntington Ave Apt 515
Alexandria, VA 22303-1706

Mailing address

2000 Huntington Ave Apt 515
Alexandria, VA 22303-1706
Phone (571) 550-0212

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
0133004187VAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1083593784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HUNTINGTON AVE APT 515",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223031706",
            "telephone_number": "571-550-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HUNTINGTON AVE APT 515",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223031706",
            "telephone_number": "571-550-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUB",
        "first_name": "RYAN",
        "middle_name": "TAYLOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133004187",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 28, 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.