Active NPI
Carolina Andrea Mora
- Behavior Technician
- Vienna, VA
National Provider Identifier
1104632454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-314590
- Practice address
- 8000 Towers Crescent Dr FL 13
Vienna, VA 22182-6211 - Phone
- (866) 864-1661
- NPI assigned
- Dec 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-314590 | VA | Primary |
Addresses
Primary practice location
8000 Towers Crescent Dr FL 13
Vienna, VA 22182-6211
Mailing address
6913 Westlawn Dr
Falls Church, VA 22042-2651
Phone (571) 296-9919
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 |
|---|---|---|---|
| RBT-23-314590 | VA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1104632454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6913 WESTLAWN DR",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220422651",
"telephone_number": "571-296-9919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 TOWERS CRESCENT DR FL 13",
"city": "VIENNA",
"state": "VA",
"postal_code": "221826211",
"telephone_number": "866-864-1661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORA",
"first_name": "CAROLINA",
"middle_name": "ANDREA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-10",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "RBT-23-314590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.