Individual provider Active NPI

La Deesha Hill, BCBA

  • Behavior Analyst
  • Springfield, VA
National Provider Identifier
1093353567
Registry record updated Apr 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133004283 Issued in VA
Practice address
6216 Old Keene Mill CT
Springfield, VA 22152-2323
Phone
(571) 297-4308
NPI assigned
Dec 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 0133004283 VA Primary

Addresses

Primary practice location

6216 Old Keene Mill CT
Springfield, VA 22152-2323

Mailing address

6216 Old Keene Mill CT
Springfield, VA 22152-2323
Phone (571) 297-4308

Other names 1

  • Ladeesha Page Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stafford@breakthroughbehavior.com Direct

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
0133004283VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Green Box ABA, PLLC CurrentSince May 4, 2025 Accepting new patients

Locations

6216 Old Keene Mill Ct
Springfield, VA 22152
Phone (571) 297-4308

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": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745712000000",
    "number": "1093353567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 OLD KEENE MILL CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522323",
            "telephone_number": "571-297-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 OLD KEENE MILL CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522323",
            "telephone_number": "571-297-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "LA DEESHA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2025-04-27",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133004283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stafford@breakthroughbehavior.com",
            "affiliation": "N",
            "endpointDescription": "clinic email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11 Hope Rd Ste 215",
            "city": "Stafford",
            "state": "VA",
            "country_code": "US",
            "postal_code": "225547287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LADEESHA",
            "last_name": "PAGE",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.