Active NPI
Melissa Cooper
- Behavior Technician
- Washington, DC
National Provider Identifier
1124882287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4200 Wisconsin Ave NW # 106-212
Washington, DC 20016-2143 - Phone
- (703) 506-0123
- NPI assigned
- Feb 9, 2024
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
4200 Wisconsin Ave NW # 106-212
Washington, DC 20016-2143
Mailing address
918 Eastern Ave NE Apt 102
Washington, DC 20019-7079
Other practice location 1
2000 Tower Oaks Blvd
Rockville, MD 20852-4282
Phone (301) 444-5001
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1124882287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 EASTERN AVE NE APT 102",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200197079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 WISCONSIN AVE NW # 106-212",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162143",
"telephone_number": "703-506-0123"
}
],
"practiceLocations": [
{
"address_1": "2000 Tower Oaks Blvd",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208524282",
"country_code": "US",
"telephone_number": "301-444-5001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPER",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-09",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.