Alejandra Lucia Pena

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133002298 Issued in VA

Practice address

11200 Waples Mill Rd Ste 100
Fairfax, VA 22030-7475

Phone

(703) 237-2219

Fax

(703) 237-2729

NPI assigned

Feb 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Axiom Link, Inc.

  • Rehabilitation Clinic/Center
  • Fairfax, VA
  • NPI 1174852867

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1154829463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2963 MOCKERNUT CT",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712331",
            "telephone_number": "703-463-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 WAPLES MILL RD STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307475",
            "telephone_number": "703-237-2219",
            "fax_number": "703-237-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "ALEJANDRA",
        "middle_name": "LUCIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "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": "0133002298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ysabel Pelaez, CRNA
• Lori Fay Pele
• Nicole Alyssa Pellicciotto, MED, ABD
• Pelvic Pro Physical Therapy LLC
• Heidi Pena-Moog, LPTA
• Penderbrook Internal Medicine and Wellness, PLLC
• Marianne Guy Pendlebury
• Lei Peng, M.D.
• Sarah Penland, LCSW
• Gary Penner

• Behavior Analyst in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.