Individual provider Active NPI

Isatu Sia Saffa

  • Behavior Technician
  • Fairfax, VA
National Provider Identifier
1144709908
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
A00144644 Issued in MD
Practice address
9870A Main St
Fairfax, VA 22031-3908
Phone
(571) 317-1742
NPI assigned
Aug 12, 2018
Last updated
Dec 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X A00144644 MD Primary

Addresses

Primary practice location

9870A Main St
Fairfax, VA 22031-3908

Mailing address

12106 Westlock PL
Laurel, MD 20708-2422
Phone (240) 713-0699

Other names 1

  • Ms. Asiatu Sia Bah Other name

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
A00144644MDMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1534032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1144709908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12106 WESTLOCK PL",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082422",
            "telephone_number": "240-713-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9870A MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313908",
            "telephone_number": "571-317-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFFA",
        "first_name": "ISATU",
        "middle_name": "SIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-12",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "A00144644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASIATU",
            "last_name": "BAH",
            "middle_name": "SIA",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.